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TW201815383A - Multilayer beads for pharmaceutical use - Google Patents

Multilayer beads for pharmaceutical use Download PDF

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Publication number
TW201815383A
TW201815383A TW106134584A TW106134584A TW201815383A TW 201815383 A TW201815383 A TW 201815383A TW 106134584 A TW106134584 A TW 106134584A TW 106134584 A TW106134584 A TW 106134584A TW 201815383 A TW201815383 A TW 201815383A
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Prior art keywords
polymer
drug
layer
lubiprostone
bead
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TW106134584A
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Chinese (zh)
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狄帕克 蒂瓦里
平田隆
原田康弘
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瑞士商蘇坎波公司
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Publication of TW201815383A publication Critical patent/TW201815383A/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/14Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/16Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
    • A61K9/167Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction with an outer layer or coating comprising drug; with chemically bound drugs or non-active substances on their surface
    • A61K9/1676Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction with an outer layer or coating comprising drug; with chemically bound drugs or non-active substances on their surface having a drug-free core with discrete complete coating layer containing drug
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/14Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/16Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
    • A61K9/1605Excipients; Inactive ingredients
    • A61K9/1629Organic macromolecular compounds
    • A61K9/1635Organic macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyvinyl pyrrolidone, poly(meth)acrylates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/557Eicosanoids, e.g. leukotrienes or prostaglandins
    • A61K31/558Eicosanoids, e.g. leukotrienes or prostaglandins having heterocyclic rings containing oxygen as the only ring hetero atom, e.g. thromboxanes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/14Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/16Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
    • A61K9/1605Excipients; Inactive ingredients
    • A61K9/1611Inorganic compounds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/14Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/16Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
    • A61K9/1605Excipients; Inactive ingredients
    • A61K9/1629Organic macromolecular compounds
    • A61K9/1652Polysaccharides, e.g. alginate, cellulose derivatives; Cyclodextrin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2072Pills, tablets, discs, rods characterised by shape, structure or size; Tablets with holes, special break lines or identification marks; Partially coated tablets; Disintegrating flat shaped forms
    • A61K9/2086Layered tablets, e.g. bilayer tablets; Tablets of the type inert core-active coat
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/48Preparations in capsules, e.g. of gelatin, of chocolate
    • A61K9/50Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
    • A61K9/5005Wall or coating material
    • A61K9/5021Organic macromolecular compounds
    • A61K9/5026Organic macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyvinyl pyrrolidone, poly(meth)acrylates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/10Laxatives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0053Mouth and digestive tract, i.e. intraoral and peroral administration

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Chemical & Material Sciences (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medicinal Chemistry (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Epidemiology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Organic Chemistry (AREA)
  • General Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Inorganic Chemistry (AREA)
  • Obesity (AREA)
  • Hematology (AREA)
  • Diabetes (AREA)
  • Medicinal Preparation (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)

Abstract

Multilayer beads for pharmaceutical use having a drug-in-polymer layer are disclosed. The disclosed multilayer beads for pharmaceutical use have (a) a core particle; (b) an optional barrier layer coated on the surface of the core particle; (c) a drug-in-polymer layer coated on the surface of the core or the barrier layer, (d) an optional sealant layer coated on the surface of the drug-in-polymer layer; and (e) optionally one or more outer layers external to the drug-in-polymer layer or the sealant layer. The drug-in-polymer layer consists essentially of (i) a drug selected from the group consisting of a 15-keto prostaglandin drug, a 13,14-dihydro prostaglandin drug, and a 13,14-dihydro-15-keto prostaglandin drug; and (ii) a polymer selected from the group consisting of polyvinylpyrrolidone, vinylpyrrolidone-vinylacetate copolymer or a mixture thereof. The drug-in-polymer layer may be solid dispersion of the drug in the polymer. Pharmaceutical compositions comprising a plurality of multilayer beads and a pharmaceutically acceptable excipient and methods of treating a gastrointestinal disorder are also disclosed.

Description

用於藥學用途之多層珠粒Multilayer beads for pharmaceutical use

發明領域 本發明係有關於多層珠粒、其製備方法、以及其藥學用途。更尤其,本發明關於具有一聚合物包藥層(drug-in-polymer layer)的多層珠粒,其中該藥為15-酮基前列腺素藥、13,14-二氫前列腺素藥、或13,14-二氫-15-酮基前列腺素藥且該聚合物為聚乙烯吡咯烷酮、乙烯基吡咯烷酮-乙酸乙烯酯共聚物或其等之混合物且用於治療腸胃病症。FIELD OF THE INVENTION The present invention relates to multi-layer beads, their preparation methods, and their pharmaceutical uses. More particularly, the present invention relates to a multilayer bead having a drug-in-polymer layer, wherein the drug is a 15-keto prostaglandin drug, 13,14-dihydroprostaglandin drug, or 13 , 14-dihydro-15-keto prostaglandin drug and the polymer is polyvinylpyrrolidone, vinylpyrrolidone-vinyl acetate copolymer or a mixture thereof and used to treat gastrointestinal disorders.

發明背景 脂肪酸衍生物存在於人類和其他哺乳動物的組織或器官中,並展現廣泛範圍的生理活性。前列腺素是一種脂肪酸衍生物,具有式(A)所示的前列腺酸架構: BACKGROUND OF THE INVENTION Fatty acid derivatives exist in tissues or organs of humans and other mammals and exhibit a wide range of physiological activities. Prostaglandin is a fatty acid derivative with a prostaglandic acid structure represented by formula (A):

一些合成的前列腺素(PG)類似物具有經修飾的前列腺酸架構和各式化學修飾。此類類似物的主要結構係根據五員環部分分類為PGAs、PGBs、PGCs、PGDs、PGEs、PGFs、PGGs、PGHs、PGIs和PGJs,而且彼等可藉由ω鏈上不飽和鍵的數目和位置進一步分類為亞型。Some synthetic prostaglandin (PG) analogs have a modified prostaglandic acid structure and various chemical modifications. The main structures of such analogs are classified into PGAs, PGBs, PGCs, PGDs, PGEs, PGFs, PGGs, PGHs, PGIs, and PGJs according to the five-membered ring part, and they can be determined by the number of unsaturated bonds in the ω chain and Location is further classified into subtypes.

PGE1 衍生物係用於治療腸胃病症。舉例來說,15-酮基-16-鹵素前列腺素化合物可用作為瀉藥(美國專利號5,317,032)。魯比前列酮(Lubiprostone)─亦習知為13,14-二氫-15-酮基-16,16-二氟-PGE1 ─是用來治療下列病況的阿米西婭(Amitiza®)藥品的活性藥學成分(“API”或「藥物」),例如成人的慢性特發性便秘、類阿片引起的便秘與腸燥症。魯比前列酮活化第2型氯離子通道(ClC-2)並增加從漿膜到胃腸道黏膜側的富氯離子液體分泌。PGE 1 derivatives are used to treat gastrointestinal disorders. For example, 15-keto-16-halogen prostaglandin compounds can be used as laxatives (US Patent No. 5,317,032). Lubiprostone (also known as 13,14-dihydro-15-keto-16,16-difluoro-PGE 1) is an Amitiza® drug used to treat the following conditions Active pharmaceutical ingredients ("API" or "drug"), such as chronic idiopathic constipation in adults, opioid-induced constipation and intestinal dryness. Lubiprostone activates the type 2 chloride channel (ClC-2) and increases the secretion of chloride-rich liquid from the serosa to the mucosal side of the gastrointestinal tract.

一般來說,前列腺素不溶於水且在水的存在下變得明顯不穩定。再者,前列腺素本身或者在大多數固體或溶劑的存在下是不穩定的。為了解決這樣的挑戰,描述了包含15-酮基-16-二氟前列腺素化合物與諸如甘油酯之溶劑的囊封調配物,其可維持該化合物的穩定性(美國專利號6,583,174)。阿米西婭是在具高儲存穩定性的軟質明膠膠囊中以鏈脂肪酸三甘油酯(MCTs)配製,如美國專利號8,026,393所述。In general, prostaglandins are insoluble in water and become significantly unstable in the presence of water. Furthermore, prostaglandins are unstable by themselves or in the presence of most solids or solvents. To address such challenges, encapsulated formulations containing 15-keto-16-difluoroprostaglandin compounds and solvents such as glycerides are described that can maintain the stability of the compound (US Patent No. 6,583,174). Amexia is formulated with chain fatty acid triglycerides (MCTs) in soft gelatin capsules with high storage stability, as described in US Patent No. 8,026,393.

一些患者群體,舉例來說,兒童或老年無法吞服膠囊或錠劑。這可能使治療的可能性複雜化、減少或甚至消除。有必要開發允許前列腺素容易地被投藥並適於此類患者群體的新穎調配物。本發明係解決該需求。Some patient groups, for example, children or the elderly, cannot swallow capsules or lozenges. This may complicate, reduce or even eliminate the possibility of treatment. There is a need to develop novel formulations that allow prostaglandins to be easily administered and suitable for such patient groups. The present invention addresses this need.

發明概要 本發明關於用於藥學用途之多層珠粒,其具有一聚合物包藥層,其中該藥為15-酮基前列腺素藥、13,14-二氫前列腺素藥、或13,14-二氫-15-酮基前列腺素藥且該聚合物為聚乙烯吡咯烷酮、乙烯基吡咯烷酮-乙酸乙烯酯共聚物或其等之混合物。更廣泛地,本發明可適用至用作藥的脂肪酸衍生物並以美國專利號8,026,393的式I描述,其內容明確地以參照方式併入。本發明亦關於藥學組成物,該組成物含有複數個該多層珠粒並用於治療腸胃病症,尤其是兒童、長者和吞嚥困難個體的腸胃病症。SUMMARY OF THE INVENTION The present invention relates to a multi-layer bead for pharmaceutical use, which has a polymer coating layer, wherein the drug is 15-keto prostaglandin drug, 13,14-dihydroprostaglandin drug, or 13,14- Dihydro-15-keto prostaglandin drug and the polymer is polyvinylpyrrolidone, vinylpyrrolidone-vinyl acetate copolymer or a mixture thereof. More broadly, the present invention is applicable to fatty acid derivatives used as medicines and is described in US Patent No. 8,026,393, Formula I, the contents of which are expressly incorporated by reference. The present invention also relates to a pharmaceutical composition, which contains a plurality of the multi-layered beads and is used for the treatment of gastrointestinal disorders, especially gastrointestinal disorders of children, the elderly and individuals with dysphagia.

本發明提供用於藥學用途之多層珠粒,包含: (a)一核心顆粒; (b)一任擇的屏障層,其塗覆在該核心顆粒的表面上; (c)一聚合物包藥層,其塗覆在該核心顆粒的表面上,或當該屏障層存在時,其塗覆在該屏障層的表面上, 其中該聚合物包藥層基本上由下列構成: (i)一藥,選自由下列構成之群組:15-酮基前列腺素藥、13,14-二氫前列腺素藥、和13,14-二氫-15-酮基前列腺素藥;以及 (ii)一聚合物,選自由下列構成之群組:聚乙烯吡咯烷酮、乙烯基吡咯烷酮-乙酸乙烯酯共聚物或其等之混合物; (d)一任擇的密封層,其塗覆在該聚合物包藥層的表面上;以及 (e)任擇地,一或多個外層,其在該聚合物包藥層的外面,或當該密封層存在時,其在該密封層的外面。The present invention provides multi-layer beads for pharmaceutical use, comprising: (a) a core particle; (b) an optional barrier layer coated on the surface of the core particle; (c) a polymer drug coating layer , Which is coated on the surface of the core particle, or when the barrier layer is present, it is coated on the surface of the barrier layer, wherein the polymer drug-coated layer basically consists of the following: (i) a drug, Selected from the group consisting of: 15-keto prostaglandin drugs, 13,14-dihydroprostaglandin drugs, and 13,14-dihydro-15-keto prostaglandin drugs; and (ii) a polymer, Selected from the group consisting of: polyvinylpyrrolidone, vinylpyrrolidone-vinyl acetate copolymer, or mixtures thereof; (d) an optional sealing layer, which is coated on the surface of the polymer drug-coated layer; And (e) optionally, one or more outer layers, which are outside the polymer-coated layer, or when the sealing layer is present, it is outside the sealing layer.

本發明提供藥學組成物,該組成物包含複數個多層珠粒和一藥學上可接受的賦形劑。該複數個多層珠粒合併起來代表該藥的治療有效量並可為該藥的單位藥量。此類藥學組成物通常以固體口服劑型形式存在。The present invention provides a pharmaceutical composition comprising a plurality of multilayer beads and a pharmaceutically acceptable excipient. The plurality of multi-layer beads combine to represent the therapeutically effective amount of the drug and can be the unit dose of the drug. Such pharmaceutical compositions usually exist in solid oral dosage forms.

本發明亦關於治療腸胃病症的方法,該方法包含將治療有效量的在根據本發明之藥學組成物內的多層珠粒口服投予至對其有需求的患者的步驟。The present invention also relates to a method of treating gastrointestinal disorders, the method comprising the step of orally administering a therapeutically effective amount of multilayer beads in the pharmaceutical composition according to the present invention to a patient in need thereof.

本發明的另一具體例關於藥在聚合物中的固體調配物或固體分散物,該等基本上由下列構成(a)一藥,選自由下列構成之群組:15-酮基前列腺素藥、13,14-二氫前列腺素藥、和13,14-二氫-15-酮基前列腺素藥;以及(b)一聚合物,選自由下列構成之群組:聚乙烯吡咯烷酮、乙烯基吡咯烷酮-乙酸乙烯酯共聚物或其等之混合物。Another specific example of the present invention relates to a solid formulation or solid dispersion of a drug in a polymer, which basically consists of (a) a drug selected from the group consisting of: 15-keto prostaglandin drugs , 13,14-dihydroprostaglandin drugs, and 13,14-dihydro-15-ketoprostaglandin drugs; and (b) a polymer selected from the group consisting of polyvinylpyrrolidone, vinylpyrrolidone -Vinyl acetate copolymers or mixtures thereof.

發明說明 本發明關於用於藥學用途之多層珠粒,其具有一聚合物包藥層,其中該藥為15-酮基前列腺素藥、13,14-二氫前列腺素藥、或13,14-二氫-15-酮基前列腺素藥且該聚合物為聚乙烯吡咯烷酮、乙烯基吡咯烷酮-乙酸乙烯酯共聚物或其等之混合物。更廣泛地,本發明可適用至用作藥的脂肪酸衍生物並以美國專利號8,026,393的式I描述,其內容明確地以參照方式併入。本發明係基於發現此類珠粒與藥的調配物係出乎意料地穩定該藥並阻止其遷移到該聚合物包藥層以外。本發明亦關於藥學組成物,該組成物含有複數個該多層珠粒並用於治療腸胃病症,尤其是兒童和長者的腸胃病症。DESCRIPTION OF THE INVENTION The present invention relates to a multilayer bead for pharmaceutical use, which has a polymer coating layer, wherein the drug is 15-keto prostaglandin drug, 13,14-dihydroprostaglandin drug, or 13,14- Dihydro-15-keto prostaglandin drug and the polymer is polyvinylpyrrolidone, vinylpyrrolidone-vinyl acetate copolymer or a mixture thereof. More broadly, the present invention is applicable to fatty acid derivatives used as medicines and is described in US Patent No. 8,026,393, Formula I, the contents of which are expressly incorporated by reference. The present invention is based on the discovery that such bead and drug formulations unexpectedly stabilize the drug and prevent it from migrating out of the polymer drug coating. The present invention also relates to a pharmaceutical composition, which contains a plurality of the multi-layer beads and is used to treat gastrointestinal disorders, especially in children and the elderly.

本領域已知15-酮基前列腺素藥、13,14-二氫前列腺素藥與13,14-二氫-15-酮基前列腺素藥係有效於治療腸胃病症。該等藥,為脂肪酸的衍生物,係說明於已公開的PCT申請案WO 2016/067620與美國專利6,414,016;其揭示內容係以參照方式併入本案。該等藥的代表例子包括但不限於: (-)-7-[(2R,4aR,5R,7aR)-2-(l,l-二氟戊基)-2-羥基-6-側氧基八氫環戊二烯并[b]吡喃-5-基]庚酸(魯比前列酮); (-)-7-{(2R,4aR,5R,7aR)-2-[(3S)-l,l-二氟-3-甲基戊基]-2-羥基-6-側氧基八氫環戊二烯并[b]吡喃-5-基}庚酸(考前列酮(cobiprostone)); (+)-異丙基(Z)-7-[(lR,2R,3R,5S)-3,5-二羥基-2-(3-側氧基癸基)環戊基]庚-5-烯酸酯(異丙基烏諾前列酮(isopropyl unoprostone)); (Z)-7-[(lR,2R,3R,5S)-3,5-二羥基-2-(3-側氧基癸基)環戊基]庚-5-烯酸; (-)-7-[(lR,2R)-2-(4,4-二氟-3-側氧基辛基)-5-側氧基環戊基]庚酸;以及 (E)-7-[(lR,2R)-2-(4,4-二氟-3-側氧基辛基)-5-側氧基環戊基]庚-2-烯酸。 本發明提供15-酮基前列腺素藥、13,14-二氫前列腺素藥和13,14-二氫-15-酮基前列腺素藥的新穎調配物。15-酮基前列腺素藥、13,14-二氫前列腺素藥和13,14-二氫-15-酮基前列腺素藥包括該藥本身、該藥的藥學上可接受的鹽、或該藥的代謝物或前驅藥、還有該藥的異構物(包括互變異構物)及異構物的混合物。較佳地,該藥為魯比前列酮並包括其藥學上可接受的鹽、異構物、代謝物或前驅藥。舉例來說,15-羥基魯比前列酮是魯比前列酮的代謝物,說明於美國專利號6,956,056。魯比前列酮的醯胺前驅藥係說明於美國專利號7,064,148。It is known in the art that 15-keto prostaglandin drugs, 13,14-dihydroprostaglandin drugs, and 13,14-dihydro-15-keto prostaglandin drugs are effective in treating gastrointestinal disorders. These drugs, which are derivatives of fatty acids, are described in the published PCT application WO 2016/067620 and US Patent 6,414,016; the disclosure of which is incorporated into this case by reference. Representative examples of such drugs include, but are not limited to: (-)-7-[(2R, 4aR, 5R, 7aR) -2- (l, l-difluoropentyl) -2-hydroxy-6-oxo Octahydrocyclopenta [b] pyran-5-yl] heptanoic acid (lubiprostone); (-)-7-{(2R, 4aR, 5R, 7aR) -2-[(3S)- l, l-difluoro-3-methylpentyl] -2-hydroxy-6- pendant octahydrocyclopenta [b] pyran-5-yl} heptanoic acid (coproprostone )); (+)-Isopropyl (Z) -7-[(lR, 2R, 3R, 5S) -3,5-dihydroxy-2- (3-oxodecyl) cyclopentyl] heptane -5-enoic acid ester (isopropyl unoprostone); (Z) -7-[(lR, 2R, 3R, 5S) -3,5-dihydroxy-2- (3-side Oxydecyl) cyclopentyl] hept-5-enoic acid; (-)-7-[(lR, 2R) -2- (4,4-difluoro-3-oxo-octyl) -5- Pendant cyclopentyl] heptanoic acid; and (E) -7-[(lR, 2R) -2- (4,4-difluoro-3- pendyloxyoctyl) -5- pendant cyclopentyl Yl] hept-2-enoic acid. The present invention provides novel formulations of 15-keto prostaglandin drugs, 13,14-dihydroprostaglandin drugs, and 13,14-dihydro-15-keto prostaglandin drugs. 15-keto prostaglandin medicine, 13,14-dihydroprostaglandin medicine and 13,14-dihydro-15-keto prostaglandin medicine include the medicine itself, the pharmaceutically acceptable salt of the medicine, or the medicine Metabolites or prodrugs, as well as isomers of this drug (including tautomers) and mixtures of isomers. Preferably, the drug is lubiprostone and includes its pharmaceutically acceptable salts, isomers, metabolites or prodrugs. For example, 15-hydroxylubiprostone is a metabolite of lubiprostone, described in US Patent No. 6,956,056. The amide prodrug system of lubiprostone is described in US Patent No. 7,064,148.

本發明關於用於藥學用途之多層珠粒,其含有15-酮基前列腺素藥、13,14-二氫前列腺素藥、或13,14-二氫-15-酮基前列腺素藥作為活性藥學成分(API)。圖1繪示本發明之多層珠粒。在本發明之多層珠粒中,有著: (a)一核心顆粒[101]; (b)一任擇的屏障層[102],其塗覆在該核心顆粒的表面上; (c)一聚合物包藥層[103],其塗覆在該核心顆粒的表面上,或當該屏障層存在時,其塗覆在該屏障層的表面上, 其中該聚合物包藥層基本上由下列構成: (i)一藥,選自由下列構成之群組:15-酮基前列腺素藥、13,14-二氫前列腺素藥、和13,14-二氫-15-酮基前列腺素藥;以及 (ii)一聚合物,選自由下列構成之群組:聚乙烯吡咯烷酮、乙烯基吡咯烷酮-乙酸乙烯酯共聚物或其等之混合物; (d)一任擇的密封層[104],其塗覆在該聚合物包藥層的表面上;以及 (e)任擇地,一或多個外層[105],其在該聚合物包藥層的外面,或當該密封層存在時,其在該密封層的外面。 熟習此藝者可調整此類層的數目和組成,舉例來說,以修飾該珠粒的釋放和穩定性曲線並掩蓋其味道。然而,本案例示的外部層是較佳的。The present invention relates to a multi-layer bead for pharmaceutical use, which contains 15-keto prostaglandin medicine, 13,14-dihydroprostaglandin medicine, or 13,14-dihydro-15-keto prostaglandin medicine as active medicine Ingredients (API). FIG. 1 illustrates the multilayer bead of the present invention. In the multilayer bead of the present invention, there are: (a) a core particle [101]; (b) an optional barrier layer [102], which is coated on the surface of the core particle; (c) a polymer A drug coating layer [103], which is coated on the surface of the core particle, or when the barrier layer is present, it is coated on the surface of the barrier layer, wherein the polymer drug coating layer basically consists of the following: (i) a drug selected from the group consisting of: 15-keto prostaglandin drugs, 13,14-dihydroprostaglandin drugs, and 13,14-dihydro-15-keto prostaglandin drugs; and ( ii) A polymer selected from the group consisting of polyvinylpyrrolidone, vinylpyrrolidone-vinyl acetate copolymer or mixtures thereof; (d) an optional sealing layer [104] coated on the On the surface of the polymer drug coating layer; and (e) optionally, one or more outer layers [105], which are outside the polymer drug coating layer, or when the sealing layer is present, it is on the sealing layer Outside. Those skilled in the art can adjust the number and composition of such layers, for example, to modify the release and stability curves of the beads and mask their taste. However, the outer layer shown in this case is preferred.

多層珠粒通常具有直徑或沿著其最長軸為約2000至約3000微米的最大尺寸。舉例來說,最大尺寸為約500至約1000微米或最大尺寸為約700至約950微米。如同核心顆粒,多層珠粒通常為球形或似球形的形狀,但可具有另一形狀,例如,舉例來說,細長的形狀或菱形形狀。當用作兒童藥品時,本發明之多層珠粒的直徑或最長軸應該符合USFDA對於投予兒童或作為撒藥調配物的尺寸要求。舉例來說,目標珠粒尺寸係至多2.5 mm,在該尺寸上不超過百分之10的變化,最大尺寸為2.8 mm。參閱USFDA Guidance for Industry, “Size of Beads in Drug Products Labeled for Sprinkle”, May 2012。存在於本發明之多層珠粒的藥量可介於約0.01 μg至約0.2 μg、自約0.02 μg至約0.1 μg、或自約0.04 μg至約0.08 μg的範圍,儘管各個珠粒內的份量可適應治療上所欲的藥量和存在於特定藥物組成物中的珠粒數量。Multi-layer beads generally have a diameter or a maximum dimension of about 2000 to about 3000 microns along their longest axis. For example, the largest dimension is about 500 to about 1000 microns or the largest dimension is about 700 to about 950 microns. Like core particles, multi-layer beads are generally spherical or spheroid-like shapes, but may have another shape, such as, for example, an elongated shape or a rhombic shape. When used as a children's medicine, the diameter or longest axis of the multilayer beads of the present invention should meet the size requirements of the USFDA for administration to children or as a drug application formulation. For example, the target bead size is at most 2.5 mm, with no more than 10 percent change in this size, and the maximum size is 2.8 mm. See USFDA Guidance for Industry, "Size of Beads in Drug Products Labeled for Sprinkle", May 2012. The amount of drug present in the multilayer beads of the present invention may range from about 0.01 μg to about 0.2 μg, from about 0.02 μg to about 0.1 μg, or from about 0.04 μg to about 0.08 μg, although the amount within each bead It can be adapted to the therapeutically desired amount of drugs and the number of beads present in a specific pharmaceutical composition.

該核心顆粒[101]可為藥學領域用來製作珠狀調配物的任何核心顆粒。一般使用球形或似球形顆粒,但核心顆粒可為本發明之多層珠粒其餘層可塗覆的任何形狀。核心顆粒可具有介於約100-1,500 μm、約200-700 μm或約350-500 μm的範圍的直徑或最長軸。可用於本發明之多層珠粒的例示核心顆粒為微晶纖維素顆粒、二氧化矽顆粒與糖顆粒。具有球形和一系列直徑的微晶纖維素顆粒係以Cellets®商品名販售。Cellets® 100為球形微晶纖維素球體,具有介於100-200 μm的範圍的顆粒尺寸,Cellets® 350為球形微晶纖維素球體,具有介於350-500 μm的範圍的顆粒尺寸,Cellets® 500為球形微晶纖維素球體,具有介於500-710 μm的範圍的顆粒尺寸以及Cellets® 1000為球形微晶纖維素球體,具有介於1000-1400 μm的範圍的顆粒尺寸。The core particles [101] can be any core particles used in the pharmaceutical field to make bead-like formulations. Spherical or quasi-spherical particles are generally used, but the core particles can be any shape that can be coated with the remaining layers of the multilayer bead of the present invention. The core particles may have a diameter or longest axis ranging from about 100-1,500 μm, about 200-700 μm, or about 350-500 μm. Exemplary core particles that can be used in the multilayer beads of the present invention are microcrystalline cellulose particles, silica particles, and sugar particles. Microcrystalline cellulose particles with a spherical shape and a range of diameters are sold under the Cellets® trade name. Cellets® 100 is spherical microcrystalline cellulose spheres with a particle size ranging from 100-200 μm, Cellets® 350 is spherical microcrystalline cellulose spheres with a particle size ranging from 350-500 μm, Cellets® 500 is a spherical microcrystalline cellulose sphere with a particle size in the range of 500-710 μm and Cellets® 1000 is a spherical microcrystalline cellulose sphere with a particle size in the range of 1000-1400 μm.

在本發明之多層珠粒中,一任擇的屏障層[102]可塗覆在該核心顆粒的表面上。此屏障層的目的是使該聚合物包藥層[103]和核心顆粒[101]分開,並縮小或防止該藥和該核心的接觸。如下文實施例1a所示,該藥和該核心顆粒[101]的接觸可能導致該藥降解並喪失該藥學調配物的功效。屏障層通常是聚合層。可使用執行所欲屏障層功能的任何藥學上可接受的聚合物。較佳地,該聚合物為聚乙烯吡咯烷酮(PVP)、乙烯基吡咯烷酮-乙酸乙烯酯共聚物(PVP-VA或其等之混合物。市面上可購得各種標準化的PVP與PVP-VA,舉例來說,BASF所製造的Kollidon® 17PF與Kollidon® VA。任何市購、藥學上可接受的PVP或PVP-VA或其組合可用於該聚合物介質。In the multilayer bead of the present invention, an optional barrier layer [102] can be coated on the surface of the core particle. The purpose of this barrier layer is to separate the polymer-coated layer [103] from the core particles [101], and to reduce or prevent contact between the drug and the core. As shown in Example 1a below, contact of the drug with the core particle [101] may cause the drug to degrade and lose the efficacy of the pharmaceutical formulation. The barrier layer is usually a polymeric layer. Any pharmaceutically acceptable polymer that performs the desired barrier layer function can be used. Preferably, the polymer is polyvinylpyrrolidone (PVP), vinylpyrrolidone-vinyl acetate copolymer (PVP-VA or a mixture of these. A variety of standardized PVP and PVP-VA are commercially available, for example Said, Kollidon® 17PF and Kollidon® VA manufactured by BASF. Any commercially available, pharmaceutically acceptable PVP or PVP-VA or a combination thereof can be used for the polymer medium.

身為本發明之多層珠粒中的APIs的15-酮基前列腺素藥、13,14-二氫前列腺素藥、或13,14-二氫-15-酮基前列腺素藥係位於該聚合物包藥層[103]。根據本發明的聚合物包藥層基本上由下列構成:(i)一藥,選自由下列構成之群組:15-酮基前列腺素藥、13,14-二氫前列腺素藥、和13,14-二氫-15-酮基前列腺素藥;以及(ii)一聚合物,選自由下列構成之群組:聚乙烯吡咯烷酮、乙烯基吡咯烷酮-乙酸乙烯酯共聚物或其等之混合物。在一聚合物包藥層[103]中,該藥可以無定形固體或晶質固體存在,或該藥可以分子方式溶解在該固體賦形劑介質中。該藥係以藥對聚合物的相對份量為介於每0.2份聚合物1份藥至高達每200份聚合物、每400份聚合物、每500份聚合物、每1,000份聚合物、和每10,000份聚合物約1份藥的範圍存在於該聚合物包藥層。The 15-keto prostaglandin drugs, 13,14-dihydroprostaglandin drugs, or 13,14-dihydro-15-ketoprostaglandin drugs that are APIs in the multilayer beads of the present invention are located in the polymer Drug coating layer [103]. The polymer coating layer according to the present invention basically consists of the following: (i) a drug selected from the group consisting of 15-keto prostaglandin drugs, 13,14-dihydroprostaglandin drugs, and 13, 14-dihydro-15-ketoprostaglandin; and (ii) a polymer selected from the group consisting of polyvinylpyrrolidone, vinylpyrrolidone-vinyl acetate copolymer or mixtures thereof. In a polymer-coated layer [103], the drug may be present as an amorphous solid or a crystalline solid, or the drug may be molecularly dissolved in the solid excipient medium. The drug has a relative drug-to-polymer ratio of 1 part drug per 0.2 parts polymer up to 200 parts polymer, 400 parts polymer, 500 parts polymer, 1,000 parts polymer, and The range of about 1 part of 10,000 parts of polymer is present in the polymer coating layer.

該聚合物包藥層[103]可為該藥與聚合物的簡單混摻物或該藥在該聚合物中的固體分散物。固體分散物為具有至少兩個組分的固體組成物,其中一個組分係分散在另一個組分構成的介質中。舉例來說,該藥係以固體分散在聚合介質中。本案所用的固體分散物亦包括固體溶液,其中一個組分以分子方式溶解在另一個組分構成的固體介質中。舉例來說,該藥以分子方式溶解在該賦形劑介質中。The polymer drug coating [103] can be a simple blend of the drug and the polymer or a solid dispersion of the drug in the polymer. A solid dispersion is a solid composition having at least two components, one of which is dispersed in a medium composed of the other component. For example, the drug is dispersed as a solid in a polymerization medium. The solid dispersion used in this case also includes a solid solution in which one component is molecularly dissolved in a solid medium composed of another component. For example, the drug is molecularly dissolved in the excipient medium.

該聚合物包藥層[103]基本上由該藥與該聚合物構成。該層可以─像是本發明之多層珠粒的其餘層─含有加工助劑或賦形劑,例如下文所討論者。該聚合物包藥層[103]不應含有會讓該藥在該層內游移,使得該藥可能從多層珠粒的其餘層浸出或者降解的組分。此類聚合物包藥混合物並不含可能影響該藥在該聚合物包藥層的穩定性的賦形劑,俾使該藥保留療效。已發現聚合物包藥層與本發明之多層珠粒甚至在應力穩定性測試條件下尤其穩定。在暴露至55 °C儲存條件下10天,本發明之多層珠粒保留該藥至少75-80%的藥學功效或效力。於是,本發明之多層珠粒維持適用於投予患者的狀態或條件,並且在治療上有效而不會潛在地干擾惡化產物。The polymer drug coating layer [103] is basically composed of the drug and the polymer. This layer may-like the remaining layers of the multilayer bead of the present invention-contain processing aids or excipients, such as those discussed below. The polymer drug-coated layer [103] should not contain components that would allow the drug to migrate within the layer so that the drug may leach or degrade from the remaining layers of the multi-layer bead. Such polymer-coated mixtures do not contain excipients that may affect the stability of the drug in the polymer-coated layer, so that the drug retains its therapeutic effect. It has been found that the polymer drug-coated layer and the multilayer beads of the present invention are particularly stable even under stress stability test conditions. The multilayer beads of the present invention retain at least 75-80% of the pharmaceutical efficacy or potency of the drug after being exposed to storage conditions of 55 ° C for 10 days. Thus, the multilayer bead of the present invention maintains a state or condition suitable for administration to a patient, and is therapeutically effective without potentially interfering with deterioration products.

在本發明之多層珠粒中,一任擇的密封層[104]可塗覆在該聚合物包藥層[103]的表面上。與屏障層[102]相似,當該密封層存在時,此密封層的目的是使該聚合物包藥層[103]和(多個)外層[105]分開,並縮小或防止該藥從該多層珠粒浸出。如下文實施例1所示,該藥和外層聚合物的接觸可能導致該藥降解並喪失藥學調配物的功效。密封層通常是聚合層。可使用執行所欲密封層功能的任何藥學上可接受的聚合物。例示聚合物為聚乙烯吡咯烷酮(PVP)、乙烯基吡咯烷酮-乙酸乙烯酯共聚物(PVP-VA)或其等之混合物。市面上可購得各種標準化的PVP與PVP-VA,舉例來說,BASF所製造的Kollidon® 17PF與Kollidon® VA。任何市購、藥學上可接受的PVP或PVP-VA或其組合可用於該聚合物介質。In the multilayer beads of the present invention, an optional sealing layer [104] may be coated on the surface of the polymer drug-coated layer [103]. Similar to the barrier layer [102], when the sealing layer is present, the purpose of the sealing layer is to separate the polymer-coated layer [103] and the outer layer (s) [105], and to reduce or prevent the drug from the Multilayer bead leaching. As shown in Example 1 below, contact of the drug with the outer layer polymer may cause the drug to degrade and lose the efficacy of the pharmaceutical formulation. The sealing layer is usually a polymeric layer. Any pharmaceutically acceptable polymer that performs the desired sealing layer function can be used. Exemplary polymers are polyvinylpyrrolidone (PVP), vinylpyrrolidone-vinyl acetate copolymer (PVP-VA), or mixtures thereof. Various standardized PVP and PVP-VA are commercially available, for example, Kollidon® 17PF and Kollidon® VA manufactured by BASF. Any commercially available, pharmaceutically acceptable PVP or PVP-VA or a combination thereof can be used for the polymer medium.

在本發明之多層珠粒中,相同的聚合物可構成該屏障層[102]、該聚合物包藥層[103]與密封層[104],當該等存在時。在此類多層珠粒中,在所有三個該等層中的聚合物可為聚乙烯吡咯烷酮、乙烯基吡咯烷酮-乙酸乙烯酯共聚物或其等之混合物。實際上,屏障層[102]與密封層[104]把使用相同的聚合物或聚合物混合物的聚合物包藥層[104]夾在中間。假使其他層併入本發明之多層珠粒,可維持屏障層[102]/聚合物包藥層[103]/密封層[104]的此組合,以達到該等層的目的以及該多層珠粒的穩定性。In the multi-layer beads of the present invention, the same polymer may constitute the barrier layer [102], the polymer coating layer [103] and the sealing layer [104], when these are present. In such multi-layer beads, the polymer in all three such layers may be polyvinylpyrrolidone, vinylpyrrolidone-vinyl acetate copolymer, or a mixture thereof. In fact, the barrier layer [102] and the sealing layer [104] sandwich the polymer drug coating layer [104] using the same polymer or polymer mixture. If other layers are incorporated into the multilayer beads of the present invention, this combination of barrier layer [102] / polymer drug coating layer [103] / sealing layer [104] can be maintained to achieve the purpose of these layers and the multilayer beads Stability.

本發明之多層珠粒亦可任擇地含有一或多個外層[105],以修飾其釋放及/或氣味性質、減少水與氧滲透、及/或提供機械性給該顆粒以承受斷裂或切削。此類塗覆物是本領域習知的。舉例來說,可使用掩蔽氣味或防止在pH中性溶解但允許在酸性環境中迅速溶解的塗覆物,以防止多層珠粒的溶解或崩解,直到其作為藥學組成物的一部分投予之後到達胃部環境。此類聚合物,舉例來說,在介於6至8的範圍的pH係不可溶而在介於1至5的範圍的pH可溶,或在介於5至8的範圍的pH係不可溶而在介於1至4的範圍的pH可溶。市面上可購得以甲基丙烯酸與甲基丙烯酸甲酯系統為基底的廣泛範圍的共聚物系統,例如Evonik所銷售的EUDRAGIT®聚合物。在本發明之多層珠粒中,該外層包含了包含甲基丙烯酸丁酯的共聚物。較佳地,EUDRAGIT® E100─胺基乙基甲基丙烯酸二甲酯、甲基丙烯酸丁酯和甲基丙烯酸甲酯的共聚物─係用作該外層。The multilayer beads of the present invention may optionally contain one or more outer layers [105] to modify their release and / or odor properties, reduce water and oxygen penetration, and / or provide mechanical properties to the particles to withstand fracture or Cutting. Such coatings are known in the art. For example, coatings that mask odors or prevent neutral dissolution at pH but allow rapid dissolution in an acidic environment can be used to prevent dissolution or disintegration of multilayer beads until after they are administered as part of a pharmaceutical composition Reach the stomach environment. Such polymers, for example, are insoluble in the pH range of 6 to 8 and soluble in the pH range of 1 to 5, or insoluble in the pH range of 5 to 8. The pH is soluble in the range of 1 to 4. A wide range of copolymer systems based on methacrylic acid and methyl methacrylate systems are commercially available, such as the EUDRAGIT® polymer sold by Evonik. In the multilayer bead of the present invention, the outer layer contains a copolymer containing butyl methacrylate. Preferably, EUDRAGIT® E100—a copolymer of aminoethyl dimethyl methacrylate, butyl methacrylate, and methyl methacrylate—is used as the outer layer.

如上文所討論,多層珠粒的該等層可含有供易於塗覆的添加劑,其係選自本領域習知的藥學上可接受的賦形劑。舉例來說,該等層中的一或多層可含有塑化劑與潤滑劑,例如PEGs與聚乙二醇。塑化劑包括,舉例來說,甘油、乙醯基檸檬酸三丁酯、聚乙二醇、乙醯基檸檬酸三乙酯、聚乙二醇單甲醚、蓖麻油丙二醇、二乙醯基化單甘油酯、山梨醇去水山梨醇溶液、癸二酸二丁酯、鄰苯二甲酸二乙酯、甘油三乙酸酯、檸檬酸三丁酯和檸檬酸三乙酯。再者,各層可撒上防靜電劑或靜電消除劑,例如滑石與二氧化矽。此類材料係以本領域習知的方式與份量使用,因為彼等不會實質上干擾該藥與多層珠粒的穩定性,而且較佳地改善該藥的穩定性並防止其遷移到該聚合物包藥層以外。As discussed above, the layers of the multilayer beads may contain additives for easy coating, which are selected from pharmaceutically acceptable excipients known in the art. For example, one or more of these layers may contain plasticizers and lubricants, such as PEGs and polyethylene glycol. Plasticizers include, for example, glycerin, acetyl tributyl citrate, polyethylene glycol, acetyl triethyl citrate, polyethylene glycol monomethyl ether, castor oil propylene glycol, diethyl acetyl Monoglyceride, sorbitol desorbed sorbitol solution, dibutyl sebacate, diethyl phthalate, triacetin, tributyl citrate and triethyl citrate. Furthermore, each layer can be sprinkled with antistatic agents or static elimination agents, such as talc and silica. Such materials are used in a manner and amount known in the art, as they do not substantially interfere with the stability of the drug and the multilayer beads, and preferably improve the stability of the drug and prevent it from migrating to the polymerization Things outside the medicine layer.

在較佳具體例中,在本發明之多層珠粒中,有著: (a)一核心顆粒[101]; (b)一屏障層[102],其塗覆在該核心顆粒的表面上; (c)一聚合物包藥層[103],其塗覆在該核心顆粒的表面上,或當該屏障層存在時,其塗覆在該屏障層的表面上, 其中該聚合物包藥層基本上由下列構成: (i)一藥,選自由下列構成之群組:15-酮基前列腺素藥、13,14-二氫前列腺素藥、和13,14-二氫-15-酮基前列腺素藥;以及 (ii)一聚合物,選自由下列構成之群組:聚乙烯吡咯烷酮、乙烯基吡咯烷酮-乙酸乙烯酯共聚物或其等之混合物; (d)一密封層[104],其塗覆在該聚合物包藥層的表面上;以及 (e)一或多個外層[105],其在該聚合物包藥層的外面,或當該密封層存在時,其在該密封層的外面。 此具體例可包括上文所討論的本發明之多層珠粒的各式其他態樣。該藥可為魯比前列酮(或其藥學上可接受的鹽、異構物、代謝物或前驅藥)。In a preferred embodiment, in the multilayer bead of the present invention, there are: (a) a core particle [101]; (b) a barrier layer [102], which is coated on the surface of the core particle; ( c) A polymer drug coating layer [103], which is coated on the surface of the core particle, or when the barrier layer is present, it is coated on the surface of the barrier layer, wherein the polymer drug coating layer is substantially It consists of the following: (i) One medicine, selected from the group consisting of: 15-keto prostaglandin medicine, 13,14-dihydroprostaglandin medicine, and 13,14-dihydro-15-keto prostate Plain medicine; and (ii) a polymer selected from the group consisting of polyvinylpyrrolidone, vinylpyrrolidone-vinyl acetate copolymer or mixtures thereof; (d) a sealing layer [104], which is coated Covering the surface of the polymer drug coating layer; and (e) one or more outer layers [105] which are outside the polymer drug coating layer or when the sealing layer is present, it is on the sealing layer outside. This specific example may include various other aspects of the multilayer bead of the present invention discussed above. This medicine may be lubiprostone (or a pharmaceutically acceptable salt, isomer, metabolite, or prodrug thereof).

本發明之多層珠粒係使用本領域習知的塗覆技術,例如流化床塗覆裝置以該等指定層依序地塗覆該核心顆粒來製備。各層可以其組分的溶液或分散液依序地施用,隨後乾燥,以在施用下一個塗覆物之前去除溶劑。個別的層係使用溶劑噴塗。用於噴塗的例示溶劑為丙酮。該噴塗係在不超過30°C的溫度下進行。該塗層係在不超過45°C的溫度下乾燥。The multi-layer beads of the present invention are prepared using coating techniques known in the art, such as fluidized bed coating devices, which sequentially coat the core particles with the specified layers. The layers can be applied sequentially as a solution or dispersion of their components, followed by drying to remove the solvent before applying the next coating. Individual layers are sprayed with solvents. An exemplary solvent used for spraying is acetone. The spraying is carried out at a temperature not exceeding 30 ° C. The coating is dried at a temperature not exceeding 45 ° C.

本發明亦關於藥學組成物,其包含根據本發明的複數個多層珠粒和一藥學上可接受的賦形劑。本發明之藥學組成物可為口服劑型或是可被開啟並投予珠粒的多層珠粒包裝。在本發明之藥學組成物中,該複數個多層珠粒可含在膠囊、藥囊(sachet)或藥袋(pouch)內。The invention also relates to a pharmaceutical composition, which comprises a plurality of multilayer beads according to the invention and a pharmaceutically acceptable excipient. The pharmaceutical composition of the present invention can be an oral dosage form or a multi-layer bead package that can be opened and administered to the beads. In the pharmaceutical composition of the present invention, the plurality of multi-layer beads may be contained in a capsule, sachet or pouch.

本發明亦關於藥在聚合物中的固體調配物。藥在聚合物中的該固體調配物可為該藥與聚合物的簡單混摻物或該藥在該聚合物中的固體分散物。根據本發明的藥在聚合物中的固體調配物為基本上由下列構成的固體分散物:(a)一藥,選自由下列構成之群組:15-酮基前列腺素藥、13,14-二氫前列腺素藥、和13,14-二氫-15-酮基前列腺素藥;以及(b)一聚合物,選自由下列構成之群組:聚乙烯吡咯烷酮、乙烯基吡咯烷酮-乙酸乙烯酯共聚物或其等之混合物。根據本發明的藥在聚合物中的另一固體調配物為基本上由下列構成的混摻物:(a)一藥,選自由下列構成之群組:15-酮基前列腺素藥、13,14-二氫前列腺素藥、和13,14-二氫-15-酮基前列腺素藥;以及(b)一聚合物,選自由下列構成之群組:聚乙烯吡咯烷酮、乙烯基吡咯烷酮-乙酸乙烯酯共聚物或其等之混合物。The invention also relates to solid formulations of drugs in polymers. The solid formulation of the drug in the polymer may be a simple blend of the drug and the polymer or a solid dispersion of the drug in the polymer. The solid formulation of the drug according to the present invention in a polymer is a solid dispersion consisting essentially of (a) a drug, selected from the group consisting of: 15-ketoprostaglandin, 13,14- Dihydroprostaglandin, and 13,14-dihydro-15-ketoprostaglandin; and (b) a polymer selected from the group consisting of polyvinylpyrrolidone, vinylpyrrolidone-vinyl acetate copolymer Thing or its mixture. Another solid formulation of the drug according to the present invention in the polymer is a blend consisting essentially of: (a) a drug selected from the group consisting of: 15-ketoprostaglandin, 13, 14-dihydroprostaglandin, and 13,14-dihydro-15-ketoprostaglandin; and (b) a polymer selected from the group consisting of polyvinylpyrrolidone, vinylpyrrolidone-vinyl acetate Ester copolymer or its mixture.

根據本發明的藥在聚合物中的固體調配物可呈顆粒形式且基本上由下列構成:(a)一藥,選自由下列構成之群組:15-酮基前列腺素藥、13,14-二氫前列腺素藥、和13,14-二氫-15-酮基前列腺素藥;以及(b)一聚合物,選自由下列構成之群組:聚乙烯吡咯烷酮、乙烯基吡咯烷酮-乙酸乙烯酯共聚物或其等之混合物。熟習此藝者將能夠視投藥模式、含有該固體調配物的藥學調配物、和製作參數而定選擇適當顆粒尺寸。作為上限,該顆粒本身可大到大約錠劑的尺寸。The solid formulation of the drug according to the invention in the polymer may be in the form of particles and consist essentially of the following: (a) a drug selected from the group consisting of: 15-ketoprostaglandin, 13,14- Dihydroprostaglandin, and 13,14-dihydro-15-ketoprostaglandin; and (b) a polymer selected from the group consisting of polyvinylpyrrolidone, vinylpyrrolidone-vinyl acetate copolymer Thing or its mixture. Those skilled in the art will be able to select the appropriate particle size depending on the mode of administration, the pharmaceutical formulation containing the solid formulation, and the manufacturing parameters. As an upper limit, the particles themselves can be as large as the size of the lozenge.

本發明亦關於藥學組成物,其含有藥在聚合物中的固體調配物合併有藥學上可接受的賦形劑。在此類藥學調配物中,藥在聚合物中的固體調配物可呈顆粒形式,基本上由下列構成:(a)一藥,選自由下列構成之群組:15-酮基前列腺素藥、13,14-二氫前列腺素藥、和13,14-二氫-15-酮基前列腺素藥;以及(b)一聚合物,選自由下列構成之群組:聚乙烯吡咯烷酮、乙烯基吡咯烷酮-乙酸乙烯酯共聚物或其等之混合物。藥在聚合物中的該固體調配物可形成多層珠粒的核心或單一劑型,兩者皆帶有上文討論的該等層的一或多層。該藥學組成物可含有複數個多層珠粒。The present invention also relates to a pharmaceutical composition, which contains a solid formulation of a drug in a polymer combined with a pharmaceutically acceptable excipient. In such pharmaceutical formulations, the solid formulation of the drug in the polymer may be in the form of particles, basically consisting of: (a) a drug, selected from the group consisting of: 15-keto prostaglandin drugs, 13,14-dihydroprostaglandin drugs, and 13,14-dihydro-15-ketoprostaglandin drugs; and (b) a polymer selected from the group consisting of polyvinylpyrrolidone, vinylpyrrolidone- Vinyl acetate copolymer or its mixture. The solid formulation of the drug in the polymer can form the core of a multi-layer bead or a single dosage form, both with one or more of the layers discussed above. The pharmaceutical composition may contain a plurality of multilayer beads.

本發明之藥學組成物可藉由藥學調配領域的習知方法製備,舉例來說,參閱Remington's Pharmaceutical Sciences, 18th Ed., (Mack Publishing Company, Easton, Pa., 1990),其內容以參照方式併入。在劑型中,除了珠粒的該聚合物包藥層之外的層、和多層珠粒本身可和至少一藥學上可接受的賦形劑混摻,例如,舉例來說,檸檬酸鈉或磷酸二鈣或(a)填充劑或延展劑,例如,舉例來說,澱粉、乳糖、蔗糖、葡萄糖、甘露醇、和矽酸,(b)結合劑,例如,舉例來說,纖維素衍生物、澱粉、藻酸鹽、明膠、聚乙烯吡咯烷酮、蔗糖、和阿拉伯膠,(c)保濕劑,例如,舉例來說,甘油,(d)崩解劑,例如,舉例來說,瓊脂、碳酸鈣、馬鈴薯或樹薯澱粉、藻酸、交聯羧甲基纖維素鈉、複合矽酸鹽、和碳酸鈉,(e)溶液緩凝劑,例如,舉例來說,石蠟,(f)吸收促進劑,例如,舉例來說,四級銨化合物,(g)濕潤劑,例如,舉例來說,鯨蠟醇、和甘油單硬脂酸酯、硬脂酸鎂等等,(h)吸附劑,例如,舉例來說,高嶺土和膨潤土,以及(i)潤滑劑,例如,舉例來說,滑石、硬脂酸鈣、硬脂酸鎂、固體聚乙二醇、月桂基硫酸鈉、或其等之混合物。在膠囊、錠劑、和藥丸的情況中,該劑型亦可包含緩衝劑。可接受的賦形劑亦可存在於多層珠粒的毗鄰層之間。舉例來說,賦形劑可存在於外層與密封層之間、密封層與聚合物包藥層之間、聚合物包藥層與屏障層之間、屏障層與核心之間、或其等之組合。The pharmaceutical composition of the present invention can be prepared by a conventional method in the field of pharmaceutical formulation, for example, see Remington's Pharmaceutical Sciences, 18th Ed., (Mack Publishing Company, Easton, Pa., 1990), the contents of which are incorporated by reference. Into. In the dosage form, the layers other than the polymer coating layer of the beads, and the multilayer beads themselves can be blended with at least one pharmaceutically acceptable excipient, for example, sodium citrate or phosphoric acid Dicalcium or (a) fillers or extenders, for example, starch, lactose, sucrose, glucose, mannitol, and silicic acid, (b) binding agents, for example, cellulose derivatives, Starch, alginate, gelatin, polyvinylpyrrolidone, sucrose, and gum arabic, (c) humectants, for example, for example, glycerin, (d) disintegrants, for example, for example, agar, calcium carbonate, Potato or cassava starch, alginic acid, croscarmellose sodium, complex silicate, and sodium carbonate, (e) solution retarder, for example, paraffin, (f) absorption accelerator, For example, for example, a quaternary ammonium compound, (g) a wetting agent, for example, for example, cetyl alcohol, and glycerol monostearate, magnesium stearate, etc., (h) an adsorbent, for example, For example, kaolin and bentonite, and (i) lubricants, such as, for example, talc, stearin Calcium, magnesium stearate, solid polyethylene glycols, sodium lauryl sulfate, etc. or mixture thereof. In the case of capsules, lozenges, and pills, the dosage form may also contain buffering agents. Acceptable excipients may also be present between adjacent layers of multilayer beads. For example, the excipient may be present between the outer layer and the sealing layer, between the sealing layer and the polymer coating layer, between the polymer coating layer and the barrier layer, between the barrier layer and the core, or the like combination.

藥學調配領域習知的藥學上可接受的佐劑亦可用於本發明之藥學組成物。該等包括但不限於防腐劑、潤濕劑、懸浮劑、甜味劑、調味劑、加香劑、乳化劑、和分散劑。藉由包括各種抗細菌劑和抗真菌劑,舉例來說,對羥基苯甲酸酯、氯丁醇、苯酚、山梨酸等可確保防止微生物的作用。亦可能需要包括等滲劑,舉例來說,糖、氯化鈉等。假使需要,本發明之藥學組成物亦可含有少量的輔助物質,例如潤濕劑或乳化劑、pH緩衝劑、抗氧化劑等,例如,舉例來說,檸檬酸、去水山梨醇單月桂酸酯、三乙醇胺油酸酯、丁基化羥基甲苯等等。Pharmaceutically acceptable adjuvants known in the field of pharmaceutical formulation can also be used in the pharmaceutical composition of the present invention. These include but are not limited to preservatives, wetting agents, suspending agents, sweeteners, flavoring agents, perfuming agents, emulsifying agents, and dispersing agents. By including various antibacterial and antifungal agents, for example, parabens, chlorobutanol, phenol, sorbic acid, etc. can ensure the prevention of the action of microorganisms. It may also be necessary to include isotonic agents, for example, sugar, sodium chloride, and the like. If necessary, the pharmaceutical composition of the present invention may also contain a small amount of auxiliary substances, such as wetting agents or emulsifiers, pH buffers, antioxidants, etc., for example, citric acid, sorbitan monolaurate , Triethanolamine oleate, butylated hydroxytoluene, etc.

本發明之藥學組成物可為含有複數個多層珠粒與其他賦形劑的口服劑型,以允許運輸、儲存與配送。該劑型可包含珠粒,其呈自由流動形式或呈錠劑形式,例如釋放該多層珠粒的快速崩解錠劑。此類快速崩解錠劑,舉例來說,除了該多層珠粒之外,可包括崩解劑。本發明之藥學組成物亦可為固體劑型,舉例來說,如下文實施例所說明,舉例來說,以魯比前列酮和PVP或PVP-PA一起的固體溶液所製備的錠劑或硬質膠囊。此類固體劑型,舉例來說,可被製成當在37°C與200 rpm的810 ml中性水與90ml 1N HCl中以USP第2型溶出裝置測量時,在30分鐘內釋放至少70%的該劑型所包含之藥量。The pharmaceutical composition of the present invention may be an oral dosage form containing a plurality of multi-layer beads and other excipients to allow transportation, storage and distribution. The dosage form may comprise beads, either in free-flowing form or in the form of a lozenge, such as a rapidly disintegrating lozenge that releases the multilayer bead. Such rapidly disintegrating lozenges, for example, may include disintegrating agents in addition to the multilayer beads. The pharmaceutical composition of the present invention may also be a solid dosage form, for example, as illustrated in the examples below, for example, a lozenge or hard capsule prepared by a solid solution of lubiprostone and PVP or PVP-PA together . Such solid dosage forms, for example, can be made to release at least 70% within 30 minutes when measured with a USP Type 2 dissolution device at 37 ° C and 200 rpm in 810 ml of neutral water and 90 ml of 1N HCl The amount of medicine contained in the dosage form.

用於口服投藥的固體劑型,例如錠劑,是本領域習知的並可藉由在製藥領域眾所周知的任何方法製備。參閱,舉例來說,Remington's Pharmaceutical Sciences, Mack Publishing Company, Philadelphia, Pa. (18th ed. 1990)。錠劑可藉由任擇地和一或多個賦形劑壓製或模製來製作。壓製的錠劑可藉由在適宜的機器中壓縮呈自由流動形式,例如粉末或粒子的活性成分,任擇地和賦形劑,例如結合劑、潤滑劑、惰性稀釋劑、防腐劑、表面活性劑或分散劑混合來製備。模製的錠劑可藉由在適宜的機器中以惰性液體稀釋劑潤濕的粉末化化合物的混合物模製來製作。錠劑可任擇地被包衣或刻痕並可調配成以提供其中活性成分的緩慢或受控釋放。本發明的膠囊劑型可為硬質膠囊,而且一般是由動物衍生的明膠或植物衍生的羥丙基甲基纖維素(HPMC)製成。用於本發明口服劑型的膠囊尺寸可為足夠包含其組分的任意尺寸。舉例來說,膠囊可為尺寸5、4、3、2、1、0、0E、00、000、13、12、12el、11、10、7、或Su07。膠囊係使用本領域習知的任何適宜技術來填充。Solid dosage forms for oral administration, such as lozenges, are well known in the art and can be prepared by any method well known in the pharmaceutical field. See, for example, Remington's Pharmaceutical Sciences, Mack Publishing Company, Philadelphia, Pa. (18th ed. 1990). Lozenges can be made by optionally compressing or molding with one or more excipients. Compressed lozenges can be in free-flowing form by compression in a suitable machine, such as powder or granular active ingredients, optionally with excipients such as binding agents, lubricants, inert diluents, preservatives, surface active Agent or dispersant mixed to prepare. Molded lozenges can be made by molding a mixture of powdered compounds moistened with an inert liquid diluent in a suitable machine. Lozenges can be optionally coated or scored and can be formulated to provide slow or controlled release of the active ingredient therein. The capsule dosage form of the present invention may be a hard capsule, and is generally made of animal-derived gelatin or plant-derived hydroxypropyl methyl cellulose (HPMC). The size of the capsule used in the oral dosage form of the present invention may be any size sufficient to contain its components. For example, the capsule may be of size 5, 4, 3, 2, 1, 0, 0E, 00, 000, 13, 12, 12, el, 11, 10, 7, or Su07. The capsule is filled using any suitable technique known in the art.

在該藥學組成物內的複數個多層珠粒合併起來包含該藥的治療有效量,以投予至對其有需求的患者。該多層珠粒可以給藥包裝(或藉由另一適當的給藥工具,例如量匙來給藥)。存在於本發明之藥學組成物內的複數個多層珠粒的藥量可介於約1 μg至約75 μg、自約4 μg至約50 μg、或自約8 μg至約25 μg的範圍或尤其可為8、12、16或24 μg。該藥的單位藥量為約1 μg至約1,500 μg,例如,舉例來說,約1 μg至約100 μg,例如,舉例來說,8 μg至約72 μg。本發明之藥學組成物包括單位劑型,舉例來說,8、12、16、24、48或72 μg魯比前列酮(或其藥學上可接受的鹽、異構物、代謝物或前驅藥)。A plurality of multi-layer beads in the pharmaceutical composition are combined to contain a therapeutically effective amount of the drug for administration to patients in need thereof. The multi-layered beads can be packaged for administration (or by another suitable administration tool, such as a measuring spoon). The dose of the plurality of multilayer beads present in the pharmaceutical composition of the present invention may range from about 1 μg to about 75 μg, from about 4 μg to about 50 μg, or from about 8 μg to about 25 μg or In particular, it can be 8, 12, 16 or 24 μg. The unit dose of the drug is about 1 μg to about 1,500 μg, for example, about 1 μg to about 100 μg, for example, 8 μg to about 72 μg. The pharmaceutical composition of the present invention includes unit dosage forms, for example, 8, 12, 16, 24, 48, or 72 μg lubiprostone (or a pharmaceutically acceptable salt, isomer, metabolite, or prodrug thereof) .

本發明亦關於治療腸胃病症的方法,該方法包含將治療有效量的本發明之藥學組成物內的多層珠粒口服投予至對其有需求的患者的步驟。據此,本發明關於本發明之藥學組成物治療腸胃病症的用途。一個此類腸胃病症是便秘,其他腸胃病症包括但不限於該等與功能失調的第2型氯離子通道有關者,包括下列病症:慢性特發性便秘、類阿片引起的便秘、與腸躁症所伴隨的便秘。所治療的腸胃病症亦可為炎性腸道疾病,例如,舉例來說,潰瘍性結腸炎或克隆氏症(Crohn’s disease)。The present invention also relates to a method of treating gastrointestinal disorders, the method comprising the step of orally administering a therapeutically effective amount of multilayer beads in the pharmaceutical composition of the present invention to a patient in need thereof. Accordingly, the present invention relates to the use of the pharmaceutical composition of the present invention to treat gastrointestinal disorders. One such gastrointestinal disorder is constipation, and other gastrointestinal disorders include but are not limited to those related to dysfunctional type 2 chloride channel, including the following disorders: chronic idiopathic constipation, opioid-induced constipation, and intestinal mania The accompanying constipation. The gastrointestinal disorder being treated can also be an inflammatory bowel disease, for example, for example, ulcerative colitis or Crohn's disease.

所設想到的是可投予根據本發明的調配物來治療已批准或各種國家管理機構可能在未來批准投予魯比前列酮的腸胃病症。此類適應症包括但不限於:(a)治療成人的慢性特發性便秘(CIC);(b)治療成人的類阿片引起的便秘(OIC)伴隨慢性、非癌症疼痛;(c)在6到17歲患者中,治療兒童功能性便秘(PFC) (在本申請案提申時,在美國FDA的批准未決);以及(d)治療≥18歲婦女的腸躁症所伴隨的便秘(IBS-C)。進一步設想到的是根據本發明的珠粒化調配物在投予至有吞嚥困難或難以吞嚥慣常錠劑或膠囊的個體,尤其是兒童或個體時將會有幫助。吞嚥困難可發生在各種疾病中,舉例來說,例如,脊髓灰質炎後症候群、多發性硬化、肌營養不良、帕金森氏症、多發性肌炎、皮肌炎、食道痙攣和硬皮病。It is envisaged that the formulations according to the present invention can be administered to treat gastrointestinal disorders that have been approved or that various national regulatory agencies may approve the administration of lubiprostone in the future. Such indications include but are not limited to: (a) treatment of chronic idiopathic constipation (CIC) in adults; (b) treatment of adult opioid-induced constipation (OIC) with chronic, non-cancer pain; (c) in 6 Treatment of functional constipation in children (PFC) in patients up to 17 years of age (approval pending in the US FDA at the time of application for this application); -C). It is further envisaged that the beaded formulations according to the present invention will be helpful when administered to individuals who have difficulty swallowing or have difficulty swallowing conventional tablets or capsules, especially children or individuals. Dysphagia can occur in various diseases, for example, for example, post-polio syndrome, multiple sclerosis, muscular dystrophy, Parkinson's disease, polymyositis, dermatomyositis, esophageal spasm, and scleroderma.

「治療(Treatment of)」或「治療腸胃病症(treating a gastrointestinal disorder)」包括任何治療控制方式,例如,預防、護理、症狀緩解、症狀減輕和進展停止。該治療可為「長期」,涉及投予本發明之藥學組成物一段長時間,達至少兩週、至少三週、至少一個月、至少兩個月或至少六個月至一年或更久。該藥學組成物可在整個治療期間每天投予或間隔一至幾天以及每天一次或多次。"Treatment of" or "treating a gastrointestinal disorder" includes any form of treatment control, such as prevention, care, symptom relief, symptom relief, and progression of cessation. The treatment may be "long-term", involving administration of the pharmaceutical composition of the invention for a long period of time, for at least two weeks, at least three weeks, at least one month, at least two months, or at least six months to one year or more. The pharmaceutical composition can be administered daily or at intervals of one to several days throughout the treatment period and one or more times per day.

「藥的治療有效量」指的是引起對其有需求的患者治療上有益的反應的藥量。該患者通常是人類患者,但亦可包括其他哺乳動物,例如,在獸醫護理下的馬、同伴動物(狗或貓)、牲畜和動物園動物。「治療有效量」可基於年齡、體重、欲治療患者的狀況、所欲治療效果、投藥途徑、治療期間等來決定。魯比前列酮(或其藥學上可接受的鹽、異構物、代謝物或前驅藥)的例示治療有效量可為,舉例來說,每天一次、兩次或三次4、8、12或24 μg,或每天一次或兩次48 μg。"Therapeutically effective amount of medicine" refers to the amount of medicine that causes a therapeutically beneficial response to patients in need thereof. The patient is usually a human patient, but may also include other mammals, such as horses under veterinary care, companion animals (dogs or cats), livestock, and zoo animals. The "therapeutically effective amount" can be determined based on age, weight, the condition of the patient to be treated, the desired treatment effect, the administration route, and the treatment period. An exemplary therapeutically effective amount of lubiprostone (or a pharmaceutically acceptable salt, isomer, metabolite, or prodrug thereof) can be, for example, once, twice, or three times per day 4, 8, 12, or 24 μg, or 48 μg once or twice a day.

藥學組成物的治療方法或用途可包括將該藥學調配物之多層珠粒撒入水中或撒在軟質食物上,並使該患者吞服帶有撒著該多層珠粒的該水或軟質食物。這在治療兒童或老年患者的腸胃病症及治療0-17歲個體及/或患有吞嚥困難的個體時係尤其有用。該多層珠粒亦可撒入水(或另一適當飲料),其可在吞服前先攪拌或搖晃以形成多層珠粒懸浮液。軟質食物僅需最少或不需咀嚼,並包括但不限於食品,例如,蘋果醬、優格、冰淇淋、乾酪、嬰兒食品、嬰兒配方奶粉等。較佳地,可將複數個多層珠粒撒入水及/或蘋果醬中。本發明之多層珠粒可被製成在暴露至水或軟質食物之後,能夠抵抗該藥釋放達至少約一至十五分鐘。本發明之多層顆粒與藥學組成物於是延遲或防止藥釋放到中性懸浮液載體中以及在到達胃之前釋放到體內。相較於先前的凝膠膠囊調配物,本發明之含有該多層珠粒的藥學組成物使得與噁心和嘔吐相關的不良事件減少。實施例 材料 The treatment method or use of the pharmaceutical composition may include sprinkling the multi-layer beads of the pharmaceutical formulation into water or onto soft food, and causing the patient to swallow the water or soft food with the multi-layer beads. This is particularly useful when treating gastrointestinal disorders in children or elderly patients and in individuals aged 0-17 years and / or individuals with dysphagia. The multilayer beads can also be sprinkled with water (or another suitable beverage), which can be stirred or shaken before swallowing to form a multilayer bead suspension. Soft foods require minimal or no chewing, and include but are not limited to foods such as applesauce, yogurt, ice cream, cheese, baby food, infant formula, etc. Preferably, multiple layers of beads can be sprinkled into water and / or applesauce. The multilayer beads of the present invention can be made to resist the release of the drug for at least about one to fifteen minutes after exposure to water or soft food. The multilayer particles and pharmaceutical composition of the present invention then delay or prevent drug release into the neutral suspension carrier and into the body before reaching the stomach. Compared with previous gel capsule formulations, the pharmaceutical composition of the present invention containing the multi-layer bead reduces adverse events related to nausea and vomiting. Example materials

下列材料係用於下文說明的實施例中:The following materials are used in the examples described below:

膠態二氧化矽:Aerosil® R972 Pharma,高純度、無定形、無水、疏水膠態二氧化矽賦形劑,可從Evonik Industries取得。Colloidal silica: Aerosil® R972 Pharma, high purity, amorphous, anhydrous, hydrophobic colloidal silica excipient, available from Evonik Industries.

微晶纖維素顆粒(MCC球體):Cellets® 350球形微晶纖維素球體,具有介於350-500 μm範圍內的顆粒尺寸,可從Glatt Pharmaceutical Services取得。Microcrystalline cellulose particles (MCC spheres): Cellets® 350 spherical microcrystalline cellulose spheres with particle sizes in the range of 350-500 μm, available from Glatt Pharmaceutical Services.

癸二酸二丁酯(DBS),塑化劑,其為油(並非固體材料),可從Aldrich取得。Dibutyl sebacate (DBS), a plasticizer, which is an oil (not a solid material), is available from Aldrich.

Eudragit E100,以甲基丙烯酸與甲基丙烯酸甲酯為基底的離子性共聚物,由Evonik Nutrition & Care GmbH製造。Eudragit E100, an ionic copolymer based on methacrylic acid and methyl methacrylate, manufactured by Evonik Nutrition & Care GmbH.

魯比前列酮,活性藥學成分(API)。Lubiprostone, the active pharmaceutical ingredient (API).

聚乙二醇,具有約6000道耳吞的分子量,PEG-6000,可從TCI Chemicals取得。Polyethylene glycol, with a molecular weight of about 6000 ear swallows, PEG-6000, is available from TCI Chemicals.

聚乙烯吡咯烷酮(PVP),亦習知為聚維酮(Povidone),Kollidon® 17PF USP,由BASF製造。Polyvinylpyrrolidone (PVP), also known as Povidone (Povidone), Kollidon® 17PF USP, is manufactured by BASF.

聚乙烯吡咯烷酮-乙酸乙烯酯共聚物(PVP-VA),亦習知為共聚維酮(Copovidone),Kollidon® VA64 USP,由BASF製造。Polyvinylpyrrolidone-vinyl acetate copolymer (PVP-VA), also known as copovidone (Copovidone), Kollidon® VA64 USP, manufactured by BASF.

滑石,潤滑劑,可從BRENNTAG取得。Talc and lubricants are available from BRENNTAG.

乳糖,乳糖單水合物USP/JP,可從Maruishi Pharmaceutical取得。Lactose, lactose monohydrate USP / JP, is available from Maruishi Pharmaceutical.

甘露醇:PEARLITOL® 200 SD,由Roquette製造。Mannitol: PEARLITOL® 200 SD, manufactured by Roquette.

葡萄糖,右旋糖USP/葡萄糖 JP,可從Wako Pure Chemical Industries取得。Glucose, dextrose USP / glucose JP, is available from Wako Pure Chemical Industries.

羥丙基纖維素(HPC),USP/JP,可從Nippon Soda取得。Hydroxypropyl cellulose (HPC), USP / JP, available from Nippon Soda.

羥丙基甲基纖維素(HPMC),亦習知為Hypromellose USP/JP,可從Sigma Aldrich取得。Hydroxypropyl methylcellulose (HPMC), also known as Hypromellose USP / JP, is available from Sigma Aldrich.

微晶纖維素粉末(MCC粉末):CEOLUS® UF-702,由Asahi Kasei製造。Microcrystalline cellulose powder (MCC powder): CEOLUS® UF-702, manufactured by Asahi Kasei.

玉米澱粉,USP/JP,可從Wako Pure Chemical Industries取得。Corn starch, USP / JP, is available from Wako Pure Chemical Industries.

鋁酸鎂偏矽酸鹽(MgAMS),可從Tomita Pharmaceutical取得。實施例1A :魯比前列酮- 賦形劑接觸 穩定性研究 Magnesium aluminate metasilicate (MgAMS), available from Tomita Pharmaceutical. Example 1A : Lubiprostone- excipient contact stability study

使用各種賦形劑與魯比前列酮藥以大約50:50比例製備用於研究的測試樣本。隨後將該等製備的混合物置於55°C的加速應力穩定條件下10天。10天後,藉由適宜的HPLC方法分析該等樣本,以測定試樣(剩餘的魯比前列酮份量)與由於魯比前列酮降解所產生的雜質。結果顯示於表1A。 表1A 實施例1B :魯比前列酮- 賦形劑接觸 穩定性研究( 固體溶液) Various excipients and lubiprostone were used to prepare test samples for the study at a ratio of approximately 50:50. The prepared mixture was then placed under accelerated stress stabilization conditions at 55 ° C for 10 days. After 10 days, the samples were analyzed by a suitable HPLC method to determine the sample (the remaining amount of lubiprostone) and impurities due to the degradation of lubiprostone. The results are shown in Table 1A. Table 1A Example 1B : Lubiprostone- excipient contact stability study ( solid solution)

以約50:50與約99:1的比例混摻各種賦形劑與魯比前列酮藥來製備用於研究的另外的測試樣本。固體溶液係藉由混合魯比前列酮/MeCN與賦形劑/MeCN、將該等混合物合併且隨後藉由抽乾去除溶劑來製備。隨後將製備的混合物置於55°C的加速應力穩定條件下10天。10天後,藉由HPLC方法分析該等樣本,以測定剩餘的魯比前列酮份量與由於魯比前列酮降解所產生的雜質。Additional test samples for the study were prepared by blending various excipients and lubiprostone in a ratio of about 50:50 to about 99: 1. The solid solution is prepared by mixing lubiprostone / MeCN and excipient / MeCN, combining these mixtures and then removing the solvent by suction drying. The prepared mixture was then placed under accelerated stress stabilization conditions at 55 ° C for 10 days. After 10 days, the samples were analyzed by HPLC method to determine the remaining amount of lubiprostone and impurities due to degradation of lubiprostone.

50:50溶液的結果顯示於表1B,其中魯比前列酮和PVP、PVP-VA與DBS的固體溶液的穩定性係相對較高。後者(DBS)是一種油,而且是用作在粒劑與珠粒上塗膜的習用塑化劑。它在一些魯比前列酮珠粒調配物中作為穩定劑可能是有用的,但並非較佳的組分。The results of the 50:50 solution are shown in Table 1B, where the stability of the solid solution of lubiprostone and PVP, PVP-VA and DBS is relatively high. The latter (DBS) is an oil, and is used as a conventional plasticizer for coating films on granules and beads. It may be useful as a stabilizer in some lubiprostone bead formulations, but it is not a preferred component.

相較於50:50固體溶液,99:1固體溶液的結果顯示魯比前列酮和PVP與PVP-VA的固體溶液具有相對較高的穩定性。不受限於任何特定的解釋,據信魯比前列酮分子是被相對增加數量的加強穩定性的賦形劑分子所包圍。 表1B 實施例1C :魯比前列酮- 賦形劑接觸 穩定性研究( 機械混合 粉末) Compared to the 50:50 solid solution, the results of the 99: 1 solid solution show that the lubiprostone and PVP and PVP-VA solid solutions have relatively high stability. Without being limited to any particular explanation, it is believed that the lubiprostone molecule is surrounded by a relatively increased number of excipient molecules that enhance stability. Table 1B Example 1C : Lubiprostone- excipient contact stability study ( mechanical mixed powder)

以大約50:50與 99:1比例直接(機械)混合各種賦形劑與魯比前列酮藥來製備測試樣本。魯比前列酮與賦形劑的機械混合係藉由使用習用研磨機混摻該等來進行。隨後將製備的混合物置於55°C的加速應力穩定條件下10天。10天後,藉由HPLC分析該等樣本,以測定剩餘的魯比前列酮份量與由於魯比前列酮降解所產生的雜質。結果顯示於表1C。由於機械混合粉末所致而觀察到的魯比前列酮的穩定性增加僅在PVP與PVP-VA看到。然而,該穩定性增加並不如實施例1B就固體溶液所觀察到的大。不受限於任何特定的解釋,據信此結果是由於相對較少的完全混合。 表1C 實施例2 :魯比前列酮/ 聚合物層穩定性測試 Test samples were prepared by directly (mechanically) mixing various excipients with lubiprostone in approximately 50:50 and 99: 1 ratios. The mechanical mixing of lubiprostone and excipients is carried out by blending these using a conventional mill. The prepared mixture was then placed under accelerated stress stabilization conditions at 55 ° C for 10 days. After 10 days, the samples were analyzed by HPLC to determine the remaining amount of lubiprostone and impurities due to degradation of lubiprostone. The results are shown in Table 1C. The observed increase in the stability of lubiprostone due to mechanically mixed powders was only seen in PVP and PVP-VA. However, this increase in stability was not as great as that observed for solid solutions in Example 1B. Without being limited to any particular interpretation, it is believed that this result is due to relatively little complete mixing. Table 1C Example 2 : Lubiprostone / polymer layer stability test

魯比前列酮/聚合物溶液係於丙酮(HPLC級,EMD)製成10 wt%固體。將約2.5 g的各個聚合物溶液移到鋁盤(~10 cm直徑)並於40 °C乾燥至少4小時,以形成約100 μm厚度的藥/聚合物層。目視檢查所得膜的膜完整性。隨後將所有薄膜置於55 °C強制空氣對流烘箱中並在10天後檢查外觀變化。各個個別藥/聚合物的外觀係整理於表2。 表2 實施例3 :多層珠粒調配物的製備 The lubiprostone / polymer solution was made up to 10 wt% solids in acetone (HPLC grade, EMD). Approximately 2.5 g of each polymer solution was transferred to an aluminum pan (~ 10 cm diameter) and dried at 40 ° C for at least 4 hours to form a drug / polymer layer with a thickness of approximately 100 μm. Visually check the membrane integrity of the resulting membrane. All films were then placed in a forced air convection oven at 55 ° C and the appearance change was checked after 10 days. The appearance of each individual drug / polymer is summarized in Table 2. Table 2 Example 3 : Preparation of multilayer bead formulation

使用底部噴霧流化床(VFC-LAB Micro Flo-coater)塗覆方法,於30-60 g規模將球形微晶纖維素顆粒(Cellets® 350)依序地包覆聚合物屏障(PVP或PVP-VA)層、魯比前列酮(Lubi)/聚合物層、密封包衣(PVP或PVP-VA)與防水外層(聚甲基丙烯酸酯Eudragit E 100)。表3報導聚合物、噴霧溶液濃度、溶劑系統、與方法參數,包括床溫(Tbed )、溶液進料速率(Q)與噴嘴霧化壓力(P)。塗覆重量係藉由將聚合物層重量除以總產物重量(即,聚合物層與基材的重量)來計算。在塗覆各層後,於40 °C強制對流烘箱進行二次托盤乾燥步驟過夜,以去除殘餘的丙酮。 表3 *屏障包衣重量= 20%與密封包衣重量 = 25%實施例4 :多層珠粒調配物與顆粒尺寸分佈測定 Using the bottom spray fluidized bed (VFC-LAB Micro Flo-coater) coating method, spherical microcrystalline cellulose particles (Cellets® 350) were sequentially coated with a polymer barrier (PVP or PVP- VA) layer, Lubiprostone (Lubi) / polymer layer, seal coat (PVP or PVP-VA) and waterproof outer layer (polymethacrylate Eudragit E 100). Table 3 reports the polymer, spray solution concentration, solvent system, and method parameters, including bed temperature (T bed ), solution feed rate (Q), and nozzle atomization pressure (P). The coating weight is calculated by dividing the weight of the polymer layer by the total product weight (ie, the weight of the polymer layer and the substrate). After coating the layers, a forced tray convection oven was subjected to a secondary tray drying step overnight at 40 ° C to remove residual acetone. table 3 * Barrier coating weight = 20% and seal coating weight = 25% Example 4 : Multi-layer bead formulation and particle size distribution determination

經塗覆的珠粒係如實施例3說明般製備。珠粒在塗覆前後的依序顆粒尺寸係藉由雷射繞射使用Malvern Mastersizer 300以Aero S單位(Malvern Instruments)測定。D10、D50與D90直徑係用於定性粉末的顆粒尺寸分佈。舉例而言,D50直徑是由較小顆粒構成的的50%樣本質量的直徑。在各個塗覆步驟前後的顆粒尺寸分佈係經由雷射繞射測量,結果顯示於表4,下列縮寫:Cellets = Cellets® 350,Lubi = 魯比前列酮與E = Eudragit® E100。 表4 The coated beads were prepared as illustrated in Example 3. The sequential particle size of the beads before and after coating was determined by laser diffraction using Malvern Mastersizer 300 in Aero S units (Malvern Instruments). The diameters of D10, D50 and D90 are used to characterize the particle size distribution of the powder. For example, the D50 diameter is the diameter of 50% of the sample mass composed of smaller particles. The particle size distribution before and after each coating step was measured via laser diffraction. The results are shown in Table 4, the following abbreviations: Cellets = Cellets® 350, Lubi = Lubiprostone and E = Eudragit® E100. Table 4

如表4所示,最後產物的顆粒尺寸係大致上小於1 mm,其為用於水中的口服懸浮液給藥或用於撒在軟質食品上的適宜尺寸。實施例5 :溶出測試 As shown in Table 4, the particle size of the final product is approximately less than 1 mm, which is a suitable size for oral suspension administration in water or for sprinkling on soft foods. Example 5 : Dissolution test

兩階段溶出測試(即,中性pH → 胃的pH)係使用Distek的2100C型號USP第2型溶出裝置在如實施例3說明般製備的經塗覆珠粒上進行,以模擬給藥過程,並將中性溶出介質(HPLC級水,帶有1% Kolliphor RH40,BASF)預熱至37.0 ̊C。全部實驗皆重複進行兩次。樣本的分析係使用HPLC-MS執行。全部三個調配物在中性溶出介質中振盪1小時後,顯示可忽略的藥物釋放,而在添加1N HCl至該介質中後,幾乎立刻釋放藥物。此指出多層珠粒不僅不溶於中性pH水,而且在此類條件下具有最小的透水性,一旦周圍的pH降低至胃的pH,則快速溶解,並將藥物釋放至介質中。實施例6 – 多層珠粒製備方法 The two-stage dissolution test (ie, neutral pH → stomach pH) was performed on the coated beads prepared as described in Example 3 using Distek's 2100C model USP Type 2 dissolution device to simulate the drug delivery process, Preheat the neutral dissolution medium (HPLC grade water with 1% Kolliphor RH40, BASF) to 37.0 ° C. All experiments were repeated twice. The analysis of the samples was performed using HPLC-MS. All three formulations showed negligible drug release after shaking in a neutral dissolution medium for 1 hour, while the drug was released almost immediately after adding 1N HCl to the medium. This indicates that the multi-layer beads are not only insoluble in neutral pH water, but also have minimal water permeability under such conditions. Once the surrounding pH decreases to the stomach pH, they dissolve quickly and release the drug into the medium. Example 6- Method for preparing multilayer beads

下列步驟係用於製備其他批次的本發明之多層珠粒: (a)在流化床塗覆機中載入所需份量的微晶纖維素珠粒; (b)將PVP-VA溶在丙酮中並製備PEG 6000水溶液來製備底塗溶液; (c)添加滑石並使來自步驟(b)的溶液和滑石混合; (d)噴塗來自步驟(c)的塗覆溶液; (e)使第一塗層後的珠粒乾燥; (f)進一步使該等珠粒乾燥,以去除溶劑; (g)在流化床塗覆機中載入該等珠粒; (h)將所需份量的魯比前列酮置入先前製備的PVP-VA的丙酮溶液中,並加入PEG 6000與滑石 (i)以來自步驟(h)的溶液噴塗該等珠粒; (j)使第二塗層後的該等珠粒乾燥; (k)進一步使該等珠粒乾燥,以去除溶劑; (l)在流化床塗覆機中載入該等珠粒; (m)製備PVP-VA於丙酮中的密封塗覆溶液並製備PEG 6000溶液並與滑石混合 (n)以來自步驟(m)的溶液噴塗該等珠粒; (o)使第三塗層後的該等珠粒乾燥; (p)進一步使該等珠粒乾燥,以去除溶劑; (q)在流化床塗覆機中載入該等珠粒; (r)將胺基甲基丙烯酸酯/丙酮溶液與PEG 6000和滑石混合來製備塗覆溶液 (s)以來自步驟(r)的溶液噴塗該等珠粒; (t)使第四塗層後的該等珠粒乾燥; (u)進一步使該等珠粒乾燥,以去除溶劑;以及 (v)分選該等珠粒,以去除凝聚體和微粒。The following steps are used to prepare other batches of multilayer beads of the present invention: (a) Load the required amount of microcrystalline cellulose beads in a fluidized bed coater; (b) Dissolve PVP-VA in Prepare a primer solution in acetone and prepare a PEG 6000 aqueous solution; (c) Add talc and mix the solution from step (b) with talc; (d) Spray the coating solution from step (c); (e) Use The coated beads are dried; (f) The beads are further dried to remove the solvent; (g) The beads are loaded in a fluidized bed coater; (h) The required amount of Lubiprostone is placed in the acetone solution of the previously prepared PVP-VA, and PEG 6000 and talc are added (i) spray the beads with the solution from step (h); (j) after the second coating Drying the beads; (k) further drying the beads to remove the solvent; (l) loading the beads in a fluidized bed coater; (m) preparing PVP-VA in acetone Seal the coating solution and prepare PEG 6000 solution and mix with talc (n) spray the beads with the solution from step (m); (o) dry the beads after the third coating; (p) further Make the beads Drying to remove the solvent; (q) loading the beads in a fluidized bed coater; (r) mixing the amine methacrylate / acetone solution with PEG 6000 and talc to prepare a coating solution (s ) Spraying the beads with the solution from step (r); (t) drying the beads after the fourth coating; (u) further drying the beads to remove the solvent; and (v) Sort the beads to remove aggregates and particles.

本發明之多層珠粒的一例示組成物係說明於表6。使用雷射繞射的顆粒尺寸測試顯示D90顆粒尺寸為0.752 mm。 表6 *用作溶劑並於乾燥期間去除實施例7 – 多層珠粒製備方法 An exemplary composition of the multilayer bead of the present invention is shown in Table 6. The particle size test using laser diffraction shows that the D90 particle size is 0.752 mm. Table 6 * Used as a solvent and removed during drying Example 7- Method for preparing multilayer beads

本發明之多層珠粒的另一例示組成物係說明於表7。 表7 實施例8 – 珠粒的穩定性與溶出 Table 7 shows another exemplary composition of the multilayer beads of the present invention. Table 7 Example 8- Bead stability and dissolution

本發明之多層珠粒係於應力條件下測試穩定性。使該等珠粒在玻璃小瓶中、於55°C維持10天,以測定穩定性。對該等珠粒進行兩階段溶出測試(即,中性pH → 胃的pH)。溶出測試係如Paddle方法(裝置2)所指示,於37°C溶解(USP <711>)在HCO-40:聚乙二醇40氫化蓖麻油介質(習知為Kolliphor RH40 (BASF))來進行。表8顯示如實施例7所述般製備的魯比前列酮珠粒的剩餘的魯比前列酮份量、相關降解物質的出現與溶出性能。魯比前列酮與相關降解物質的份量係藉由HPLC分析。通過溶出測試的標準係如下列:階段1目標 - 不超過20%的標示量於30 mins內釋放在帶有表面活性劑(1% HCO-40)的水中;階段2目標 – 不少於60% (Q)的標示量於60 mins內釋放在帶有表面活性劑(1% HCO-40)的0.1 N HCl中。 表8 實施例9 – 藥學組成物:撒珠膠囊 The multilayer beads of the present invention are tested for stability under stress conditions. The beads were kept in a glass vial at 55 ° C for 10 days to determine the stability. These beads were subjected to a two-stage dissolution test (ie, neutral pH → stomach pH). The dissolution test was carried out as indicated by the Paddle method (apparatus 2), dissolved at 37 ° C (USP <711>) in HCO-40: polyethylene glycol 40 hydrogenated castor oil medium (kolliphor RH40 (BASF)) . Table 8 shows the remaining lubiprostone portion of lubiprostone beads prepared as described in Example 7 and the appearance and dissolution properties of related degrading substances. The amount of lubiprostone and related degrading substances was analyzed by HPLC. The criteria for passing the dissolution test are as follows: Phase 1 target-not more than 20% of the labeled amount is released in water with surfactant (1% HCO-40) within 30 mins; Phase 2 target-not less than 60% The indicated amount of (Q) is released in 0.1 N HCl with surfactant (1% HCO-40) within 60 mins. Table 8 Example 9- Pharmaceutical composition: Zazhu capsule

將本發明之多層珠粒和0.5 wt%滑石混合。將尺寸0的羥丙基甲基纖維素藍/白撒珠膠囊填充該多層珠粒與滑石混合物。實施例10 – 溶出測試:撒珠膠囊 The multilayer beads of the present invention were mixed with 0.5 wt% talc. The size 0 hydroxypropyl methylcellulose blue / white bead beads capsules were filled with the multilayer bead and talc mixture. Example 10- Dissolution test: Sprinkle beads capsules

兩階段溶出測試(即,中性pH → 胃的pH,如上所述)係於如上文般製備的含魯比前列酮珠粒的撒珠膠囊上進行。將來自該膠囊的多層珠粒撒入該溶出介質中,並如實施例8所述般進行溶出測試。圖2顯示在中性水性環境裡,很少或沒有藥物釋放,而整個剩餘藥物在酸性環境(像是胃)中釋放的溶出曲線。實施例11 - 撒珠膠囊 的穩定性與溶出 The two-stage dissolution test (ie, neutral pH → stomach pH, as described above) was carried out on a bead containing Lubiprostone beads prepared as above. The multilayer beads from the capsule were sprinkled into the dissolution medium and the dissolution test was carried out as described in Example 8. Figure 2 shows the dissolution profile of little or no drug release in a neutral aqueous environment, while the entire remaining drug is released in an acidic environment (like the stomach). Example 11- Stability and dissolution of Zazhu capsules

如上文所述般製備在羧丙基甲基纖維素膠囊內的撒珠─帶有24 µg魯比前列酮和多層珠粒─係用於測試穩定性和溶出。穩定性研究係使用帶有乾燥劑的HDPE螺旋瓶蓋瓶子進行。於25ºC/60% RH及於40ºC/75% RH長達3個月的穩定性數據係顯示於表9與10。如下所示,該批次顯示良好的穩定性。 表9:於25ºC/60% RH的穩定性測試 表10:於40ºC/75% RH的穩定性測試 實施例12 - 撒珠膠囊 和蘋果醬的穩定性 Beads in carboxypropyl methylcellulose capsules prepared as described above-with 24 µg lubiprostone and multilayer beads-were used to test stability and dissolution. The stability study was conducted using HDPE screw cap bottles with desiccant. The stability data at 25ºC / 60% RH and 40ºC / 75% RH for up to 3 months are shown in Tables 9 and 10. As shown below, the batch shows good stability. Table 9: Stability test at 25ºC / 60% RH Table 10: Stability test at 40ºC / 75% RH Example 12- Stability of sprinkle beads capsules and applesauce

進行一體外測試,以建立該藥魯比前列酮在一意圖給藥載體(蘋果醬)中的化學相容性。將來自一顆膠囊的撒珠(珠粒含有24 µg魯比前列酮)和蘋果醬、TREE TOP蘋果醬(無添加糖)、5 g (在茶匙上)合併。使該等珠粒維持於室溫並於0、5、10、20 min取樣。An in vitro test was conducted to establish the chemical compatibility of the drug lubiprostone in a carrier intended for administration (applesauce). Combine sprinkle beads from one capsule (beads containing 24 µg lubiprostone) with applesauce, TREE TOP applesauce (without added sugar), 5 g (on a teaspoon). The beads were maintained at room temperature and samples were taken at 0, 5, 10, and 20 min.

將膠囊內容物撒在蘋果醬上之後,藉由傾析和(以水)潤洗來回收珠粒,隨後測定珠粒(試樣)的API含量。結果顯示於表11,該等指出─在和蘋果醬混合長達20 mins時─珠粒的良好化學相容性(雖然期望患者在前5分鐘就食用)。該結果亦確認功能性塗覆(酸溶層)在撒在蘋果醬上時防止了API從該珠粒調配物滲出。 表11. After sprinkling the capsule contents on the applesauce, the beads are recovered by decanting and rinsing (with water), and then the API content of the beads (sample) is determined. The results are shown in Table 11, which indicates that-when mixed with applesauce for up to 20 mins-the good chemical compatibility of the beads (although patients are expected to consume within the first 5 minutes). This result also confirms that the functional coating (acid-soluble layer) prevents API from oozing out of the bead formulation when sprinkled on applesauce. Table 11.

本發明包括實質上如前文所述並參照實施例與圖式的所有具體例與變化例。雖然本案已揭露本發明的各種具體例,但根據熟習此藝者的普通常識,可在本發明範疇以內進行調整和修飾。The present invention includes all specific examples and variations substantially as described above with reference to the embodiments and drawings. Although various specific examples of the present invention have been disclosed in this case, according to the common knowledge of those skilled in the art, adjustments and modifications can be made within the scope of the present invention.

101‧‧‧核心顆粒101‧‧‧Core particles

102‧‧‧屏障層102‧‧‧ barrier layer

103‧‧‧聚合物包藥層103‧‧‧ Polymer coating

104‧‧‧密封層104‧‧‧Sealing layer

105‧‧‧外層105‧‧‧Outer

圖1繪示本發明之多層珠粒。FIG. 1 illustrates the multilayer bead of the present invention.

圖2繪示實施例10所說明的溶出曲線。2 shows the dissolution curve described in Example 10.

Claims (70)

一種用於藥學用途之多層珠粒,其包含: (a)一核心顆粒; (b)一任擇的屏障層,其塗覆在該核心顆粒的表面上; (c)一聚合物包藥層(drug-in-polymer layer),其塗覆在該核心顆粒的表面上,或當該屏障層存在時,其塗覆在該屏障層的表面上, 其中該聚合物包藥層基本上由下列構成: (i)一藥,其選自由下列構成之群組:15-酮基前列腺素藥、13,14-二氫前列腺素藥、和13,14-二氫-15-酮基前列腺素藥;以及 (ii)一聚合物,其選自由下列構成之群組:聚乙烯吡咯烷酮、乙烯基吡咯烷酮-乙酸乙烯酯共聚物或其等之混合物; (d)一任擇的密封層,其塗覆在該聚合物包藥層的表面上;以及 (e)任擇地一或多個外層,其在該聚合物包藥層的外面,或當該密封層存在時,其在該密封層的外面。A multi-layer bead for pharmaceutical use, comprising: (a) a core particle; (b) an optional barrier layer coated on the surface of the core particle; (c) a polymer drug-coated layer ( drug-in-polymer layer), which is coated on the surface of the core particle, or when the barrier layer is present, it is coated on the surface of the barrier layer, wherein the polymer-coated layer consists essentially of : (I) a medicine selected from the group consisting of: 15-keto prostaglandin medicine, 13,14-dihydroprostaglandin medicine, and 13,14-dihydro-15-keto prostaglandin medicine; And (ii) a polymer selected from the group consisting of polyvinylpyrrolidone, vinylpyrrolidone-vinyl acetate copolymer or mixtures thereof; (d) an optional sealing layer coated on the On the surface of the polymer drug coating layer; and (e) optionally one or more outer layers, which are outside the polymer drug coating layer, or when the sealing layer is present, it is outside the sealing layer. 如請求項1之多層珠粒,其中該藥係選自由下列構成之群組: (-)-7-[(2R,4aR,5R,7aR)-2-(l,l-二氟戊基)-2-羥基-6-側氧基八氫環戊二烯并[b]吡喃-5-基]庚酸(魯比前列酮(lubiprostone)); (-)-7-{(2R,4aR,5R,7aR)-2-[(3S)-l,l-二氟-3-甲基戊基]-2-羥基-6-側氧基八氫環戊二烯并[b]吡喃-5-基}庚酸(考前列酮(cobiprostone)); (+)-異丙基(Z)-7-[(lR,2R,3R,5S)-3,5-二羥基-2-(3-側氧基癸基)環戊基]庚-5-烯酸酯(異丙基烏諾前列酮(isopropyl unoprostone)); (Z)-7-[(lR,2R,3R,5S)-3,5-二羥基-2-(3-側氧基癸基)環戊基]庚-5-烯酸; (-)-7-[(lR,2R)-2-(4,4-二氟-3-側氧基辛基)-5-側氧基環戊基]庚酸;以及 (E)-7-[(lR,2R)-2-(4,4-二氟-3-側氧基辛基)-5-側氧基環戊基]庚-2-烯酸。As in the multilayer bead of claim 1, wherein the drug is selected from the group consisting of: (-)-7-[(2R, 4aR, 5R, 7aR) -2- (l, l-difluoropentyl) -2-hydroxy-6- pendant octahydrocyclopenta [b] pyran-5-yl] heptanoic acid (lubiprostone); (-)-7-{(2R, 4aR , 5R, 7aR) -2-[(3S) -l, l-difluoro-3-methylpentyl] -2-hydroxy-6- pendant octahydrocyclopenta [b] pyran- 5-yl} heptanoic acid (cobiprostone); (+)-isopropyl (Z) -7-[(lR, 2R, 3R, 5S) -3,5-dihydroxy-2- ( 3-oxodecyl) cyclopentyl] hept-5-enoate (isopropyl unoprostone); (Z) -7-[(lR, 2R, 3R, 5S)- 3,5-dihydroxy-2- (3-oxodecyl) cyclopentyl] hept-5-enoic acid; (-)-7-[(lR, 2R) -2- (4,4-di Fluoro-3-oxooxyoctyl) -5-oxocyclopentyl] heptanoic acid; and (E) -7-[(lR, 2R) -2- (4,4-difluoro-3-side Oxyoctyl) -5- pendant cyclopentyl] hept-2-enoic acid. 如請求項1或2之多層珠粒,其中該藥為魯比前列酮。The multi-layer bead according to claim 1 or 2, wherein the drug is lubiprostone. 2或3中任一項之多層珠粒,其中該聚合物包藥層為該藥與聚合物的混摻物或該藥在該聚合物中的固體分散物。The multilayer bead of any one of 2 or 3, wherein the polymer coating layer is a blend of the drug and the polymer or a solid dispersion of the drug in the polymer. 2、3或4中任一項之多層珠粒,其中存在於該多層珠粒內的藥量係介於約0.01 μg至約0.2 μg、自約0.02 μg至約0.1 μg、或自約0.04 μg至約0.08 μg的範圍。The multilayer beads of any one of 2, 3, or 4, wherein the amount of drug present in the multilayer beads is between about 0.01 μg to about 0.2 μg, from about 0.02 μg to about 0.1 μg, or from about 0.04 μg To a range of about 0.08 μg. 如請求項1至5中任一項之多層珠粒,其中該藥係以藥對聚合物的相對份量為介於每0.2份聚合物1份藥至高達每200份聚合物、每400份聚合物、每500份聚合物、每1,000份聚合物、和每10,000份聚合物約1份藥的範圍存在於該聚合物包藥層中。The multi-layer bead as claimed in any one of claims 1 to 5, wherein the drug is in a relative portion of drug to polymer ranging from 1 part drug per 0.2 parts polymer up to 200 parts polymer per 400 parts polymer The range of substance, polymer per 500 parts, polymer per 1,000 parts, and approximately 1 drug per 10,000 parts of polymer is present in the polymer drug coating layer. 如請求項4之多層珠粒,其中該聚合物包藥層為該藥在該聚合物中的固體分散物。The multilayer bead as claimed in claim 4, wherein the polymer drug coating layer is a solid dispersion of the drug in the polymer. 如請求項1至7中任一項之多層珠粒,其中該核心顆粒係選自由下列構成之群組:微晶纖維素顆粒、二氧化矽顆粒與糖顆粒。The multilayer bead according to any one of claims 1 to 7, wherein the core particles are selected from the group consisting of microcrystalline cellulose particles, silica particles, and sugar particles. 如請求項1至8中任一項之多層珠粒,其具有一屏障層且該屏障層為一聚合物,該聚合物係選自由下列構成之群組:聚乙烯吡咯烷酮、乙烯基吡咯烷酮-乙酸乙烯酯共聚物或其等之混合物。The multilayer bead according to any one of claims 1 to 8, which has a barrier layer and the barrier layer is a polymer selected from the group consisting of polyvinylpyrrolidone, vinylpyrrolidone-acetic acid Vinyl ester copolymer or its mixture. 如請求項1至9中任一項之多層珠粒,其具有一密封層且該密封層為一聚合物,該聚合物係選自由下列構成之群組:聚乙烯吡咯烷酮、乙烯基吡咯烷酮-乙酸乙烯酯共聚物或其等之混合物。The multilayer bead according to any one of claims 1 to 9, which has a sealing layer and the sealing layer is a polymer selected from the group consisting of polyvinylpyrrolidone, vinylpyrrolidone-acetic acid Vinyl ester copolymer or its mixture. 如請求項1至10中任一項之多層珠粒,其具有一或多個外部外層(outer external layers),該外部外層係選自由以甲基丙烯酸酯為基底的聚合物構成之群組。The multilayer bead according to any one of claims 1 to 10, which has one or more outer external layers selected from the group consisting of methacrylate-based polymers. 一種藥學組成物,包含複數個如請求項1至11中任一項之多層珠粒和一藥學賦形劑。A pharmaceutical composition comprising a plurality of multilayer beads as claimed in any one of claims 1 to 11 and a pharmaceutical excipient. 如請求項12之藥學組成物,其中該複數個多層珠粒係含在膠囊、藥囊(sachet)或藥袋(pouch)內。The pharmaceutical composition according to claim 12, wherein the plurality of multilayer beads are contained in a capsule, sachet or pouch. 如請求項12之藥學組成物,其中該複數個多層珠粒合併起來為該藥的單位藥量,較佳介於約1 μg至約1,500 μg、自約1 μg至約75 μg、自約4 μg至約50 μg、或自約8 μg至約25 μg的範圍或尤其可為4、12、8、16或24 μg。The pharmaceutical composition according to claim 12, wherein the plurality of multi-layer beads are combined to form a unit dose of the drug, preferably between about 1 μg to about 1,500 μg, from about 1 μg to about 75 μg, from about 4 μg It may range from about 50 μg, or from about 8 μg to about 25 μg, or in particular may be 4, 12, 8, 16 or 24 μg. 一種治療一腸胃病症之方法,該方法包含將一治療有效量的在如請求項12、13或14之藥學組成物內的多層珠粒口服投予至對其有需求之患者的步驟。A method for treating a gastrointestinal disorder, the method comprising the step of orally administering a therapeutically effective amount of multi-layer beads in a pharmaceutical composition as claimed in claim 12, 13 or 14 to a patient in need thereof. 如請求項15之方法,該方法包含將該藥學組成物撒入水中或撒在軟質食物上,並使該患者吞服包含撒著該多層珠粒的該水或食物。The method of claim 15, the method comprising sprinkling the pharmaceutical composition in water or on soft food, and causing the patient to swallow the water or food containing the multi-layered beads. 如請求項15或16之方法,其中該腸胃病症係與功能失調的第2型氯離子通道有關,包括選自由下列構成之群組的病症:慢性特發性便秘、類阿片引起的便秘、和腸躁症所伴隨的便秘。The method of claim 15 or 16, wherein the gastrointestinal disorder is related to a dysfunctional type 2 chloride channel, including a disorder selected from the group consisting of chronic idiopathic constipation, opioid-induced constipation, and Constipation associated with intestinal irritability. 一種如請求項12、13或14中任一項之藥學組成物用於治療一腸胃病症的用途。Use of a pharmaceutical composition according to any one of claims 12, 13 or 14 for the treatment of a gastrointestinal disorder. 如請求項18之藥學組成物的用途,其中與功能失調的第2型氯離子通道有關的該腸胃病症包括選自由下列構成之群組的病症:慢性特發性便秘、類阿片引起的便秘、腸躁症所伴隨的便秘和兒童功能性便秘。Use of the pharmaceutical composition according to claim 18, wherein the gastrointestinal disorder related to dysfunctional type 2 chloride channel includes a disorder selected from the group consisting of chronic idiopathic constipation, opioid-induced constipation, Constipation associated with intestinal mania and functional constipation in children. 一種藥在聚合物中的固體分散物,其基本上係由下列構成: (a)一藥,其選自由下列構成之群組:15-酮基前列腺素藥、13,14-二氫前列腺素藥、和13,14-二氫-15-酮基前列腺素藥;以及 (b)一聚合物,其選自由下列構成之群組:聚乙烯吡咯烷酮、乙烯基吡咯烷酮-乙酸乙烯酯共聚物或其等之混合物。A solid dispersion of a drug in a polymer, which basically consists of the following: (a) A drug selected from the group consisting of: 15-keto prostaglandin drug, 13,14-dihydroprostaglandin Medicine, and 13,14-dihydro-15-keto prostaglandin medicine; and (b) a polymer selected from the group consisting of polyvinylpyrrolidone, vinylpyrrolidone-vinyl acetate copolymer or Wait for the mixture. 如請求項20之固體分散物,其中該藥係選自由下列構成之群組: (-)-7-[(2R,4aR,5R,7aR)-2-(l,l-二氟戊基)-2-羥基-6-側氧基八氫環戊二烯并[b]吡喃-5-基]庚酸(魯比前列酮); (-)-7-{(2R,4aR,5R,7aR)-2-[(3S)-l,l-二氟-3-甲基戊基]-2-羥基-6-側氧基八氫環戊二烯并[b]吡喃-5-基}庚酸(考前列酮); (+)-異丙基(Z)-7-[(lR,2R,3R,5S)-3,5-二羥基-2-(3-側氧基癸基)環戊基]庚-5-烯酸酯(異丙基烏諾前列酮); (Z)-7-[(lR,2R,3R,5S)-3,5-二羥基-2-(3-側氧基癸基)環戊基]庚-5-烯酸; (-)-7-[(lR,2R)-2-(4,4-二氟-3-側氧基辛基)-5-側氧基環戊基]庚酸;以及 (E)-7-[(lR,2R)-2-(4,4-二氟-3-側氧基辛基)-5-側氧基環戊基]庚-2-烯酸。The solid dispersion according to claim 20, wherein the drug is selected from the group consisting of: (-)-7-[(2R, 4aR, 5R, 7aR) -2- (l, l-difluoropentyl) -2-hydroxy-6- pendant octahydrocyclopenta [b] pyran-5-yl] heptanoic acid (lubiprostone); (-)-7-{(2R, 4aR, 5R, 7aR) -2-[(3S) -l, l-difluoro-3-methylpentyl] -2-hydroxy-6-oxooctahydrocyclopenta [b] pyran-5-yl } Heptanoic acid (coprostol); (+)-isopropyl (Z) -7-[(lR, 2R, 3R, 5S) -3,5-dihydroxy-2- (3-oxodecane (Yl) cyclopentyl] hept-5-enoate (isopropyl unoprostone); (Z) -7-[(lR, 2R, 3R, 5S) -3,5-dihydroxy-2- ( 3-oxodecyl) cyclopentyl] hept-5-enoic acid; (-)-7-[(lR, 2R) -2- (4,4-difluoro-3-oxooctyl) -5-oxo-cyclopentyl] heptanoic acid; and (E) -7-[(lR, 2R) -2- (4,4-difluoro-3-oxo-octyl) -5-oxo Cyclopentyl] hept-2-enoic acid. 如請求項21之固體分散物,其中該藥為魯比前列酮。The solid dispersion of claim 21, wherein the drug is lubiprostone. 如請求項20至22中任一項之固體分散物,其中該藥係以藥對聚合物的相對份量為介於每0.2份聚合物1份藥至高達每200份聚合物、每400份聚合物、每500份聚合物、每1,000份聚合物、和每10,000份聚合物約1份藥的範圍存在。A solid dispersion as claimed in any one of claims 20 to 22, wherein the drug is in a relative portion of drug to polymer ranging from 1 part drug per 0.2 parts polymer up to 200 parts polymer per 400 parts polymer There is a range of substances, every 500 parts of polymer, every 1,000 parts of polymer, and about 1 part of medicine per 10,000 parts of polymer. 一種藥學組成物,其包含如請求項20至23中任一項之固體分散物和藥學上可接受的賦形劑,其中該藥係以一藥學有效量存在,以治療一腸胃病症。A pharmaceutical composition comprising the solid dispersion according to any one of claims 20 to 23 and a pharmaceutically acceptable excipient, wherein the medicine is present in a pharmaceutically effective amount to treat a gastrointestinal disorder. 一種藥在聚合物中的固體調配物,其基本上由下列構成: (a)一藥,選自由下列構成之群組:15-酮基前列腺素藥、13,14-二氫前列腺素藥、和13,14-二氫-15-酮基前列腺素藥;以及 (b)一聚合物,選自由下列構成之群組:聚乙烯吡咯烷酮、乙烯基吡咯烷酮-乙酸乙烯酯共聚物或其等之混合物。A solid formulation of a drug in a polymer, which basically consists of the following: (a) A drug, selected from the group consisting of: 15-keto prostaglandin drugs, 13,14-dihydroprostaglandin drugs, And 13,14-dihydro-15-keto prostaglandin; and (b) a polymer selected from the group consisting of polyvinylpyrrolidone, vinylpyrrolidone-vinyl acetate copolymer or mixtures thereof . 如請求項25之固體調配物,其中該藥係選自由下列構成之群組: (-)-7-[(2R,4aR,5R,7aR)-2-(l,l-二氟戊基)-2-羥基-6-側氧基八氫環戊二烯并[b]吡喃-5-基]庚酸(魯比前列酮); (-)-7-{(2R,4aR,5R,7aR)-2-[(3S)-l,l-二氟-3-甲基戊基]-2-羥基-6-側氧基八氫環戊二烯并[b]吡喃-5-基}庚酸(考前列酮); (+)-異丙基(Z)-7-[(lR,2R,3R,5S)-3,5-二羥基-2-(3-側氧基癸基)環戊基]庚-5-烯酸酯(異丙基烏諾前列酮); (Z)-7-[(lR,2R,3R,5S)-3,5-二羥基-2-(3-側氧基癸基)環戊基]庚-5-烯酸; (-)-7-[(lR,2R)-2-(4,4-二氟-3-側氧基辛基)-5-側氧基環戊基]庚酸;以及 (E)-7-[(lR,2R)-2-(4,4-二氟-3-側氧基辛基)-5-側氧基環戊基]庚-2-烯酸。The solid formulation of claim 25, wherein the drug is selected from the group consisting of: (-)-7-[(2R, 4aR, 5R, 7aR) -2- (l, l-difluoropentyl) -2-hydroxy-6- pendant octahydrocyclopenta [b] pyran-5-yl] heptanoic acid (lubiprostone); (-)-7-{(2R, 4aR, 5R, 7aR) -2-[(3S) -l, l-difluoro-3-methylpentyl] -2-hydroxy-6-oxooctahydrocyclopenta [b] pyran-5-yl } Heptanoic acid (coprostol); (+)-isopropyl (Z) -7-[(lR, 2R, 3R, 5S) -3,5-dihydroxy-2- (3-oxodecane (Yl) cyclopentyl] hept-5-enoate (isopropyl unoprostone); (Z) -7-[(lR, 2R, 3R, 5S) -3,5-dihydroxy-2- ( 3-oxodecyl) cyclopentyl] hept-5-enoic acid; (-)-7-[(lR, 2R) -2- (4,4-difluoro-3-oxooctyl) -5-oxo-cyclopentyl] heptanoic acid; and (E) -7-[(lR, 2R) -2- (4,4-difluoro-3-oxo-octyl) -5-oxo Cyclopentyl] hept-2-enoic acid. 如請求項26之固體調配物,其中該藥為魯比前列酮。The solid formulation of claim 26, wherein the drug is lubiprostone. 如請求項25-27中任一項之固體調配物,其中該藥係以藥對聚合物的相對份量為介於每0.2份聚合物1份藥至高達每200份聚合物、每400份聚合物、每500份聚合物、每1,000份聚合物、和每10,000份聚合物約1份藥的範圍存在。The solid formulation according to any one of claims 25 to 27, wherein the drug is in a relative portion of drug to polymer ranging from 1 part drug per 0.2 parts polymer to up to 200 parts polymer and 400 parts polymer There is a range of substances, every 500 parts of polymer, every 1,000 parts of polymer, and about 1 part of medicine per 10,000 parts of polymer. 一種藥學組成物,其包含如請求項25至28中任一項之固體分散物和一藥學上可接受的賦形劑,其中該藥係以一藥學有效量存在,以治療一腸胃病症。A pharmaceutical composition comprising the solid dispersion according to any one of claims 25 to 28 and a pharmaceutically acceptable excipient, wherein the medicine is present in a pharmaceutically effective amount to treat a gastrointestinal disorder. 如前述藥學組成物中任一項之藥學組成物,其中該藥學組成物為一固體劑型,當在37°C與200 rpm的810 ml中性水與90ml 1N HCl中以USP第2型溶出裝置測量時,該固體劑型在30分鐘內釋放至少70%的該劑型所包含之藥量。The pharmaceutical composition as described in any one of the preceding pharmaceutical compositions, wherein the pharmaceutical composition is a solid dosage form, when USP type 2 dissolution device is used in 810 ml of neutral water and 90 ml of 1N HCl at 37 ° C and 200 rpm When measured, the solid dosage form releases at least 70% of the amount of drug contained in the dosage form within 30 minutes. 如請求項1至10中任一項之多層珠粒,其具有包含一聚合物的一外層,該聚合物在介於5至8之範圍的pH下為不溶的,且在介於1至4之範圍的pH下為可溶的;或者在介於6至8的範圍之pH下為不溶的,且在介於1至5之範圍的pH下為可溶的。The multilayer bead according to any one of claims 1 to 10, which has an outer layer comprising a polymer that is insoluble at a pH in the range of 5 to 8, and is in the range of 1 to 4 It is soluble at a pH in the range of; or insoluble at a pH in the range of 6 to 8 and soluble at a pH in the range of 1 to 5. 如請求項1至10中任一項之多層珠粒,其中該層是被噴塗的。The multi-layer bead according to any one of claims 1 to 10, wherein the layer is sprayed. 如請求項32之多層珠粒,其中該層是被噴塗的且用於噴塗的溶劑是丙酮。The multilayer bead of claim 32, wherein the layer is sprayed and the solvent used for spraying is acetone. 如請求項32或33之多層珠粒,其中該噴塗係在不超過30°C的溫度下進行。The multi-layer bead according to claim 32 or 33, wherein the spraying is performed at a temperature not exceeding 30 ° C. 如請求項32至34中任一項之多層珠粒,其中該塗層係在不超過45°C的溫度下乾燥。The multilayer bead according to any one of claims 32 to 34, wherein the coating is dried at a temperature not exceeding 45 ° C. 一種固體藥學調配物,其包含如請求項25之藥在聚合物中的固體調配物,其中該固體調配物係呈顆粒形式,以及任擇地,一或多個藥學上可接受的賦形劑。A solid pharmaceutical formulation comprising the solid formulation of the drug of claim 25 in a polymer, wherein the solid formulation is in the form of particles, and optionally, one or more pharmaceutically acceptable excipients . 如請求項36之固體藥學調配物,當在37°C與200 rpm的810 ml中性水與90ml 1N HCl中以USP第2型溶出裝置測量時,該固體藥學調配物在30分鐘內釋放至少70%的魯比前列酮或其藥學上可接受的鹽、異構物、代謝物或前驅藥。As in the solid pharmaceutical formulation of claim 36, when measured at 37 ° C and 200 rpm in 810 ml of neutral water and 90 ml of 1N HCl using a USP Type 2 dissolution device, the solid pharmaceutical formulation is released for at least 30 minutes 70% of lubiprostone or its pharmaceutically acceptable salts, isomers, metabolites or prodrugs. 如請求項36之固體藥學調配物,其中該藥學上可接受的賦形劑為一或多個填充劑、延展劑、結合劑、保濕劑、崩解劑、吸收促進劑、濕潤劑、吸附劑、潤滑劑、塑化劑或緩衝劑。The solid pharmaceutical formulation of claim 36, wherein the pharmaceutically acceptable excipient is one or more fillers, extenders, binding agents, humectants, disintegrants, absorption enhancers, wetting agents, adsorbents , Lubricants, plasticizers or buffers. 如請求項38之固體藥學調配物,其中該藥學上可接受的賦形劑為澱粉、乳糖、蔗糖、葡萄糖、甘露醇、矽酸、藻酸鹽、藻酸、明膠、聚乙烯吡咯烷酮、蔗糖、阿拉伯膠、甘油、瓊脂、碳酸鈣、交聯羧甲基纖維素鈉、複合矽酸鹽、碳酸鈉、石蠟、四級銨化合物、鯨蠟醇、甘油單硬脂酸酯、硬脂酸鎂、硬脂酸鈣、月桂基硫酸鈉、高嶺土、膨潤土、滑石、聚乙二醇、或其等之混合物。The solid pharmaceutical formulation of claim 38, wherein the pharmaceutically acceptable excipients are starch, lactose, sucrose, glucose, mannitol, silicic acid, alginate, alginic acid, gelatin, polyvinylpyrrolidone, sucrose, Acacia, glycerin, agar, calcium carbonate, croscarmellose sodium, complex silicate, sodium carbonate, paraffin, quaternary ammonium compound, cetyl alcohol, glycerol monostearate, magnesium stearate, Calcium stearate, sodium lauryl sulfate, kaolin, bentonite, talc, polyethylene glycol, or a mixture thereof. 如請求項39之固體藥學調配物,其中該藥學上可接受的賦形劑為滑石、聚乙二醇或其等之組合物。The solid pharmaceutical formulation of claim 39, wherein the pharmaceutically acceptable excipient is talc, polyethylene glycol, or a combination thereof. 一種治療慢性特發性便秘、類阿片引起的便秘、和腸躁症所伴隨的便秘的方法,該方法包含將如請求項36之固體藥學組成物投予至對其治療有需求的患者的步驟。A method for treating chronic idiopathic constipation, opioid-induced constipation, and constipation associated with intestinal irritability, the method comprising the step of administering the solid pharmaceutical composition according to claim 36 to a patient in need of treatment . 如請求項41之方法,其中該患者為兒童患者或老年患者。The method of claim 41, wherein the patient is a pediatric patient or an elderly patient. 如請求項12至14中任一項之藥學組成物,其中該藥學組成物為固體口服劑型。The pharmaceutical composition according to any one of claims 12 to 14, wherein the pharmaceutical composition is a solid oral dosage form. 如請求項43之固體口服劑型,其中該固體口服劑型含有24 µg魯比前列酮。The solid oral dosage form of claim 43, wherein the solid oral dosage form contains 24 µg lubiprostone. 如請求項44之固體口服劑型,當在37°C與200 rpm的810 ml中性水與90ml 1N HCl中以USP第2型溶出裝置測量時,該固體口服劑型在30分鐘內釋放至少70%的該劑型所包含之藥量。As in the solid oral dosage form of claim 44, the solid oral dosage form releases at least 70% in 30 minutes at 37 ° C and 200 rpm in 810 ml of neutral water and 90 ml of 1N HCl using a USP Type 2 dissolution device The amount of medicine contained in the dosage form. 如請求項43之固體口服劑型,其中該藥學調配物所含的藥學上可接受的賦形劑是一或多個填充劑、延展劑、結合劑、保濕劑、崩解劑、吸收促進劑、濕潤劑、吸附劑、潤滑劑、塑化劑或緩衝劑。The solid oral dosage form of claim 43, wherein the pharmaceutically acceptable excipient contained in the pharmaceutical formulation is one or more fillers, extenders, binding agents, moisturizers, disintegrants, absorption enhancers, Wetting agent, adsorbent, lubricant, plasticizer or buffer. 如請求項46之固體口服劑型,其中該藥學上可接受的賦形劑為澱粉、乳糖、蔗糖、葡萄糖、甘露醇、矽酸、藻酸鹽、藻酸、明膠、聚乙烯吡咯烷酮、蔗糖、阿拉伯膠、甘油、瓊脂、碳酸鈣、交聯羧甲基纖維素鈉、複合矽酸鹽、碳酸鈉、石蠟、四級銨化合物、鯨蠟醇、甘油單硬脂酸酯、硬脂酸鎂、硬脂酸鈣、月桂基硫酸鈉、高嶺土、膨潤土、滑石、聚乙二醇、或其等之混合物。The solid oral dosage form of claim 46, wherein the pharmaceutically acceptable excipients are starch, lactose, sucrose, glucose, mannitol, silicic acid, alginate, alginic acid, gelatin, polyvinylpyrrolidone, sucrose, arabin Gum, glycerin, agar, calcium carbonate, croscarmellose sodium, complex silicate, sodium carbonate, paraffin, quaternary ammonium compound, cetyl alcohol, glycerol monostearate, magnesium stearate, hard Calcium fatty acid, sodium lauryl sulfate, kaolin, bentonite, talc, polyethylene glycol, or a mixture thereof. 如請求項47之固體口服劑型,其中該藥學上可接受的賦形劑為滑石、聚乙二醇或其等之組合物。The solid oral dosage form of claim 47, wherein the pharmaceutically acceptable excipient is talc, polyethylene glycol, or a combination thereof. 一種治療慢性特發性便秘、類阿片引起的便秘、腸躁症所伴隨的便秘或兒童功能性便秘之方法,該方法包含將如請求項43至48中任一項之固體口服劑型投予至對其有需求之患者的步驟。A method for treating chronic idiopathic constipation, opioid-induced constipation, constipation associated with intestinal mania or functional constipation in children, the method comprising administering the solid oral dosage form according to any one of claims 43 to 48 Steps for patients in need. 如請求項49之方法,其中該患者為兒童患者或老年患者。The method of claim 49, wherein the patient is a pediatric patient or an elderly patient. 一種多層珠粒,其包含: a. 一核心顆粒,其包含微晶纖維素; b. 一屏障層,其塗覆在該核心顆粒的表面上,該屏障層包含乙烯基吡咯烷酮-乙酸乙烯酯共聚物; c. 一聚合物包藥層,其塗覆在該屏障層的表面上,該聚合物包藥層包含治療有效量的魯比前列酮或其藥學上可接受的鹽、異構物、代謝物或前驅藥和乙烯基吡咯烷酮-乙酸乙烯酯共聚物; d. 一密封層,其塗覆在該聚合物包藥層的表面上,該密封層包含乙烯基吡咯烷酮-乙酸乙烯酯共聚物;以及 e. 一外層,其塗覆在該密封層的表面上,該外層包含了包含甲基丙烯酸丁酯的共聚物。A multilayer bead comprising: a. A core particle comprising microcrystalline cellulose; b. A barrier layer coated on the surface of the core particle, the barrier layer comprising vinylpyrrolidone-vinyl acetate copolymer C. A polymer drug coating layer, which is coated on the surface of the barrier layer, the polymer drug coating layer comprises a therapeutically effective amount of lubiprostone or a pharmaceutically acceptable salt, isomer, Metabolites or prodrugs and vinylpyrrolidone-vinyl acetate copolymer; d. A sealing layer coated on the surface of the polymer coating layer, the sealing layer containing vinylpyrrolidone-vinyl acetate copolymer; And e. An outer layer coated on the surface of the sealing layer, the outer layer comprising a copolymer containing butyl methacrylate. 如請求項51之多層珠粒,其中該屏障層、外層或其等之任何組合包含一或多個藥學上可接受的賦形劑。The multilayer bead of claim 51, wherein the barrier layer, outer layer, or any combination thereof, comprises one or more pharmaceutically acceptable excipients. 如請求項52之多層珠粒,其中該一或多個藥學上可接受的賦形劑為滑石、聚乙二醇或其等之組合物。The multilayer bead of claim 52, wherein the one or more pharmaceutically acceptable excipients is talc, polyethylene glycol, or a combination thereof. 如請求項51之多層珠粒,其中一或多個藥學上可接受的賦形劑被包括在該多層珠粒的任何兩層之間。The multilayer bead of claim 51, wherein one or more pharmaceutically acceptable excipients are included between any two layers of the multilayer bead. 如請求項54之多層珠粒,其中該一或多個藥學上可接受的賦形劑為滑石。The multilayer bead of claim 54, wherein the one or more pharmaceutically acceptable excipients is talc. 如請求項51之多層珠粒,其中該魯比前列酮係以該藥在該聚合物中的混摻物存在於該聚合物包藥層中。The multilayer bead of claim 51, wherein the lubiprostone is present in the polymer drug coating layer as a blend of the drug in the polymer. 如請求項56之多層珠粒,其中存在於該多層珠粒中的魯比前列酮份量係自約0.01 µg至約0.2 µg。The multilayer bead of claim 56, wherein the amount of lubiprostone present in the multilayer bead is from about 0.01 µg to about 0.2 µg. 如請求項57之多層珠粒,其中存在於該多層珠粒中的魯比前列酮份量係自約0.02 µg至約0.1 µg。The multilayer bead of claim 57 wherein the amount of lubiprostone present in the multilayer bead is from about 0.02 µg to about 0.1 µg. 如請求項58之多層珠粒,其中存在於該多層珠粒中的魯比前列酮份量係自約0.04 µg至約0.08 µg。The multilayer bead of claim 58, wherein the amount of lubiprostone present in the multilayer bead is from about 0.04 µg to about 0.08 µg. 如請求項56之多層珠粒,其中該魯比前列酮係以介於每0.2份聚合物1份魯比前列酮至每10,000份聚合物1份魯比前列酮的範圍的份量存在於該聚合物包藥層中。The multi-layer bead of claim 56, wherein the lubiprostone is present in the polymer in an amount ranging from 1 part lubiprostone per 0.2 parts polymer to 1 part lubiprostone per 10,000 parts polymer In the medicine layer. 如請求項56之多層珠粒,其中該魯比前列酮係以介於每0.2份聚合物1份魯比前列酮至每1,000份聚合物1份魯比前列酮的範圍的份量存在於該聚合物包藥層中。The multilayer bead of claim 56, wherein the lubiprostone is present in the polymer in an amount ranging from 1 part lubiprostone per 0.2 parts polymer to 1 part lubiprostone per 1,000 parts polymer In the medicine layer. 如請求項56之多層珠粒,其中該魯比前列酮係以介於每0.2份聚合物1份魯比前列酮至每500份聚合物1份魯比前列酮的範圍的份量存在於該聚合物包藥層中。The multi-layer bead of claim 56, wherein the lubiprostone is present in the polymer in an amount ranging from 1 part lubiprostone per 0.2 parts polymer to 1 part lubiprostone per 500 parts polymer In the medicine layer. 如請求項56之多層珠粒,其中該魯比前列酮係以介於每0.2份聚合物1份魯比前列酮至每400份聚合物1份魯比前列酮的範圍的份量存在於該聚合物包藥層中。The multilayer bead of claim 56, wherein the lubiprostone is present in the polymer in an amount ranging from 1 part lubiprostone per 0.2 parts polymer to 1 part lubiprostone per 400 parts polymer In the medicine layer. 如請求項56之多層珠粒,其中該魯比前列酮係以介於每0.2份聚合物1份魯比前列酮至每200份聚合物1份魯比前列酮的範圍的份量存在於該聚合物包藥層中。The multi-layer bead of claim 56, wherein the lubiprostone is present in the polymer in an amount ranging from 1 part lubiprostone per 0.2 parts polymer to 1 part lubiprostone per 200 parts polymer In the medicine layer. 如請求項56之多層珠粒,其中該魯比前列酮係以介於每0.2份聚合物1份魯比前列酮至每200份聚合物1份魯比前列酮的範圍的份量存在於該聚合物包藥層中。The multi-layer bead of claim 56, wherein the lubiprostone is present in the polymer in an amount ranging from 1 part lubiprostone per 0.2 parts polymer to 1 part lubiprostone per 200 parts polymer In the medicine layer. 一種膠囊,包含複數個如請求項51之多層珠粒。A capsule comprising a plurality of multi-layer beads as in claim 51. 如請求項66之膠囊,其中存在於該多層珠粒中的魯比前列酮份量係約1 µg至約75 µg。The capsule of claim 66, wherein the amount of lubiprostone present in the multilayer bead is about 1 µg to about 75 µg. 如請求項67之膠囊,其中存在於該多層珠粒中的魯比前列酮份量係約24 µg。The capsule of claim 67, wherein the amount of lubiprostone present in the multilayer bead is about 24 µg. 一種治療慢性特發性便秘、類阿片引起的便秘或腸躁症所伴隨的便秘之方法,該方法包含將如請求項66之膠囊投予至對其有需求的患者的步驟。A method for treating chronic idiopathic constipation, opioid-induced constipation, or constipation associated with intestinal irritability, the method comprising the step of administering the capsule as in claim 66 to a patient in need thereof. 如請求項69之方法,其中該患者為兒童患者或老年患者。The method of claim 69, wherein the patient is a pediatric patient or an elderly patient.
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